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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 /> SITE ADDRESS: PROPERTY TAX# PERMIT k� <br /> 15 SW Everett Mall Way (✓//) q <br /> LEGAL for new construction: Short Plat/subdivision Lot No. _ (attach copy of long legal description) <br /> OWNER Rosen Bel - Kirk Assoc. LLC. Phone/E-mail 425.454.3030 <br /> Address P.O. Box 5003 City/State/z_ip Bellevue, WA 98009 <br /> APPLICANT: __Owner _1(Owner's Agent Contractor Contractor's Agent ._ Tenant(must provide a letter of coned'from the owner to ao work Fr the space) <br /> CONTRACTOR State Lie.# City Bus. Lic.# <br /> Address Phone/Email <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Amber Moffett amber@peica.com <br /> PPG Architectural Coatings Phone/E-mail 714-385-1835 xt.244 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Existing Use of Building Commerical / retail HEAT SOURCE: <br /> Proposed Use of Building Commerical/ retail Gas Electric Other. <br /> Building type: _Single Family ^Duplex__Townhouse Multi-Family x Commercial <br /> Type of project: New Addition Remodel Repair T.I. Sign Sprinkler Demolition Change of Uso <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> Propose two new delivery ramps. <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 /> Number 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 comp <br /> with whether spaciflyd heroin 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 authoriy d by the owner of this pr perty,lo/erform the work for whicnappllcatlon is made and I comply with the State Contractors law 18.27 RCW and 296.200A WAC. <br /> • <br /> ///47.c,117?:.; <br /> Ownerl 'u ho!zed Agent SIgnatu,k6 / /Dale (Revised 9/2014) • <br />