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t <br />� i • <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 vwvw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS: PROPERTY TAX # P MIT <br />2000 Tower Street 29051700201500 ,�j j��) �;� -- ��C' <br />EGAL for new construction: Short Plat/subdivision <br />Everett Community College <br />2000 Tower Street <br />PPLICANT: _ Owner <br />ONTRACTOR T� <br />NA <br />Owner's Agent X Contractor <br />Lot No. (attach copy of long legal description) <br />Pnor,eiE-ma�i 425.388.9026 psisneros@everettcc.edu <br />City/State/Zip Everett, WA 98201 <br />Contractor�S A92llt _ T0f18f1� (musl provide a letter o( consent irom the owner to do work in the space) <br />L& I Lic. # I�1��A ��'lf. ii� �i.� S COE Bus. Lic. #t.lhv�i%G;— <br />Phone/Email <br />Sara Wilder, SM Stemper Architects <br />ione/E-mail 206.624.2777 sara@smstemper.com <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br />Existing Use of Building NA <br />Proposed Use of Building NA <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />Type of project: New Addition Remodel Repair _ T.I. X Sign _Sprinkle <br />DESCRIPTION OF WORK (additional space provided on the back) : <br />New monument sign near intersection of 10th Street and North Broadway. <br />MECHANICAL PERMIT APPLICATION <br />of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of �xtures <br />A/C — air handling units <br />� Forced air systems <br />SPR <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />W oodstove <br />Ducting <br />Other <br />Number of Heads <br />M <br />HEAT SOURCE: NA <br />Gas Electric Other <br />Chanqe of Use <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of �xtures <br />j Toilet <br />� Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/mop/e <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Roof drains <br />Medical Gas <br />Other: <br />Other: <br />I hereby ceRi(y 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 nol presume to give authority to violate or cancel the provision of any other state or local law regulating construction <br />That I am authorized by the owner of this property to perform the work for which applicalion is made and I comply with the State Conlractors Law 1827 RCW and 296200A WAC. <br />�S\ � ',i3 � / 1 / <br />iC/ <br />i��:�� ��` 6-3-14 <br />Owner/Authorized Agent Signature Date (Revised 6/2012) <br />