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m <br />� <br />U <br />• <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.ey,e�e a,o <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ;�j .` �' —' <br />SITE ADDRESS: PROPERTY TAX # PERMIT # <br />1818 Pacific Ave. Everett, WA 98201 <br />� ✓r� i-i-rn <br />EGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) <br />�WNER Housing Authority of Snohomish County Phone/E-mail �425) 293-0555 jvanassche@hsco.org <br />�dress 12625 4th Ave. W. Suite 200 City/State/Zip Everett, WA 98204 <br />PPLICANT: _ Owner _ Owner's Agent X Contractor _ Contractor�S A98flt _ T2f72f1t (must provide a letter of consent from the owner to do work in the space) <br />NTRACTOR Lloyd A. Lynch General Contractor, Inc. L 8� I Lic. # LLOYDGC234PU COE Bus. Lic. #051998 <br />ress 21828 87th Ave SE, Suite F[�oodinville WA 98072 425-485-5596 <br />� PhOne/Email nev�v@1 al vnch _ com <br />Jackson House at Pacific Crest <br />Peggy Lynch (425) 485-5596 peggy@lalynch.com <br />BUILDING PERMIT APPLICATION ICONTRACT PRICE OF WORK $244,053.00 <br />Existing Use of Building Senior Housing HEAT SOURCE: <br />Proposed Use of Building Senior Housin (Same) Gas Electric Other <br />Building type: _ Single Family _ Duplex _Townhouse � Multi-Family _ Commercial <br />Type of project: New Addition Remodel Repair � T.I. _ Sign _Sprinkler _Demolition Change of Use <br />DESCRIPTION OF WORK (additional space provided on the back) : <br />Provide and install a Class B two-ply reinforced SBS Modified Membrane system heat welded and mechanically ttached <br />to plywood decking. Roofing Assembly shall consist of heat welded roofing over protection board over rigid <br />insulation over plywood decking. Installation shall be complete with related insulation, flashings, scupper , <br />cant strips, and performing incidental or other work as may be necessitated by these operations. <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />Type of Project: _New_Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />A/C - air handling units <br />Forced air systems <br />ace <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />j Woodstove <br />Ducting <br />Other <br />SPRINKLER / SUPPRESSION SYSTEM <br />Number of Heads <br />Type of Project: _New _Addn _Alteration �Repair <br />Show Number (#) of fixtures <br />y Toilet <br />� Bathtub <br />� Lavatory (wash basin) <br />� Shower <br />j Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />j Sink (service/bar/mop/etc.) <br />Backflow preventer <br />I Urinal <br />Grease trap <br />Roof drains <br />Medical Gas <br />Other: <br />Other: <br />I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances goveming this type of work will be complied <br />with whether specified herein or not The granting of a permit does not presume to give authority to violate or cancel the provision of any other state or tocal law regulating construction <br />T I am uthorized by the owner of this property to orm the woric for which application is made and I comply with the State Contractors Law 18.27 RCW and 296200A WAC. <br />/ <br />July 31, 2013 <br />Owner/Aut rized ent Sig re Date (Revised 6/2012J <br />�� <br />' � <br />r <br />