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�ERMIT APPLICATI� <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 />ITE ADDRESS: PROPERTY TAX # PERMIT #. <br />1615 75th Street SW <br />28041100101100 <br />LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) <br />OWNER Elaine Marcinek Phone/E-mail emarcinek@itt-tech.edu <br />�ess 16'65 75th Street SW, Suite 220 <br />c�tyistateiz�P Everett, WA 98203 <br />LICANT: _ Owner _ Owner's Agent _ Contractor X COf1tf2CtOf S AgBfli _ TBflallt (must provide a letler o( consenl from lhe owner to do work in the space) <br />CONTRACTOR Western States Fire Protection <br />Address 14690 NE 95th Street #101 - Redmond, WA 98052 <br />TENANT BUSINESS NAME <br />ITT <br />BUILDING PERMIT APPLICATION <br />L& I Lic. # WESTESF136QF COE Bus. Lic. # 20553 <br />Pno�eiEma�i 425.881.0100/jim.stewart@wsfp.us <br />R PERMIT �jm Stewart <br />PnoneiE-ma�i 425.881.0100/jim.stewart@wsfp.us <br />CONTRACT PRICE OF WORK $Z,100.00 <br />Existing Use of Building B' OffiCe HEAT SOURCE: <br />Proposed Use of Building B- Office Gas Electric Other <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi-Family %� Commercial <br />Type of project: New Addition Remodel Repair T.I. _ Sign X Sprinkler _Demolition Change of Use <br />DESCRIPTION OF WORK (additional space provided on the back) : <br />Add and relocate fire sprinkler heads to accommodate the new ceiling and wall configurations. <br />MECHANICAL 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 />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />SPRIN <br />6 <br />Ketrigeration <br />Woodstove <br />Ducting <br />Other <br />R / SUPPRESSION SYSTEM <br />Number of Heads <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number (#J of fixtures <br />� Toilet <br />Bathtub <br />Lavatory (wash basin <br />Shower <br />Kitchen sink & dispos <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/moF <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 oi work will be complied <br />with whether specifed 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 authorized 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 296.200A WAC. <br />`CZ <br />Jim Stewart 02.21.2014 <br />Owner/Authorized Agent Signature Date (Revised 6/2012) <br />