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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.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS: PROPERTY TAX t# P MIT # <br />1122 75th Street SW �Qnn ��nn�ntinnn I� i A9 0 l.�(�`,� - f <br />LEGAL for new construction: Short PlaUsubdivision (attached) Lot No. (attach copy of long legal description) <br />G7 <br />a�ess 1122 75th Street SW <br />CANT: _ Owner i( Owner's Agent <br />Phone/E-mail <br />City/State/Zip Everett, WA 98203 <br />Contractor _ Contractor�5 AgBnt _ TBil811t (must provide a Ietter of consent from the owner to do work in the space) <br />CONTRACTOR TCI inc. General Contractors L& I Lic. # TCIIN**07700 COE Bus. Lic. # 043225 <br />Address 13500 Bel-Red Road, #9 Bellevue 98005 Phone/Email (425) 454 5310 <br />TENANT BUSINESS NAME CONTACT FOR PERMIT Lee Kirk, Lee Kirk �,rchitecture <br />Can on Creek Church ���^ ��� � ��'� <br />Y Phone/E-mail Lee@Lee-Kirk.com <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK $ 150.000 <br />Existing Use of Building Church <br />Proposed Use of Building Ci1UrCi1 <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi-Family � Commercial <br />Type of projecf: _ New _ Addition _ Remodel _ Repair � T.I. _ Sign _Sprinkler <br />DESCRIPTION OF WORK (addifional space provided on the back) : <br />Relocate elevaror, infill portion of sfair landing <br />MECHANICAL PERMIT APPLICATION <br />pe of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />f A/C — air handling units <br />I Forced air svstems <br />Water heater <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 />Woodstove <br />l Other <br />RINKLER / SUPPRESSI <br />Number of Heads <br />SYSTEM <br />HEAT SOURCE: <br />` Electric Other <br />olition Chanqe of Use <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />j Toilet <br />I Bathtub � <br />Lavatory (wash ba; <br />Shower <br />Kitchen sink & disp <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/m <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <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 governing 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 local law r�gulating construction <br />That I am a thorized by the.owner of this property to perform the work for which application is made and I comply with the State Contractors Law 1827 RCW and 296200A WAC. <br />� y <br />6/17/14 � <br />Owner/Authorized Agent Signature Date (Revised 6/2012) <br />