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• • <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.everettwa.org <br /> Co3 c S APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS: 36th AvePROPERTY TAX#ZSO4O3OO4OOSOO PER ITS <br /> >� i�, 111(,7 -6,02- <br /> LEGAL <br /> fez -c i:2- <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER Powder Mill Phase 1, LLC Phone/E-mail(206) 838-3846 <br /> Address 6840 Fort Dent Way, Suite 350 City/State/Zip Seattle, WA 98188 <br /> APPLICANT:_Owner _Owner's Agent _Contractor X Contractors Agent Tenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR Patriot Fire Protection, Inc. L 8,1 Lic.# PATRIFP099CF COE Bus. Lic.#024694 <br /> Address 2707 - 70th Ave E Tacoma, WA 98424 1 Phone/Email 253-284-3469 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT Pietro Demonte (253) 284-3469 <br /> Phone/E-mail pietrod@patriotfire.com <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK $156,739.00 <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas_ Electric_ Other_ <br /> Building type: _Single Family _Duplex_Townhouse _Multi-Family _K Commercial <br /> Type of project: _X_New Addition _Remodel _Repair_T.I._Sign XSprinkler_Demo Iition_Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_Addn _Alteration_Repair Type of Project: _New_Addn _Alteration_Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> A/C—air handling units Toilet <br /> Forced air systems Bathtub <br /> Gas piping Lavatory(wash basin) <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hood Water heater <br /> Exhaust fan Sink(service/bar/mop/etc.) <br /> Heat pump Backflow preventer <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> 1,245 1Number of Heads 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 regulating construction <br /> That I am auth ed by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> T <br /> /,? /'( \'L <br /> O er/Authorized Agent Signature Date (Revised 6/2012) <br />