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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 />E ADDRESS: <br />2201 100th St. SW <br />for new construction: Short PlaUsubd <br />:SS 10910 Hollv Drive <br />LICANT: _ Owner i� Owner's Agent <br />RACTOR <br />T,ax � <br />28041400300500 <br />No. (attach copy of long legal description) <br />Phone/E-mail <br />c�cY�scace�z�P Everett, WA 98204 <br />Contractor _ Contractor�S Ag21lY _ TEfl2flt (must provide a letter of consent from lhe owner to do work in the <br />• L('1. 11,1C IState Lic. # <br />Bus. Lic. <br />Address �,� � V ` � Phone/Email <br />TENANT BUSINESS NAME CONTACT FOR PERMIT <br />(425)252-2153 Jesse Wolfe- 2812architecture <br />Aurora Doors Phone/E-mail 2SS@ 2812architecture.com <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK $18,000 <br />Existing Use of Building Post Office HEAT SOURCE: <br />Proposed Use of Building Door Manufacturer/ 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 _Sprinkler _Demolition Change of Use <br />DESCRIPTION OF WORK (additiona� space provided on the back) : <br />Demolition of existing vestibule doors as required to add new roll-up door & plastic curtain at loading <br />dock size. <br />MECHANICAL PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteretion _Repair <br />Show Number (#) of fixtures <br />A/C — air handlin units <br />Forced air s stems <br />Gas i in <br />Water heater <br />Gas fire lace <br />Gas ran e <br />Clothes d er <br />Ran e hood <br />Exhaustfan <br />Heat um <br />Unit heater <br />Boiler <br />Refri eration <br />Woodstove <br />Ductin <br />Other <br />SPRINKLER / SUPPRESSION SYSTEM <br />Number of Heads <br />PLUMBING PERMIT APPLICATION <br />of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />Toilet <br />Bathtub <br />I Lavatorv (wash basinl <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/mop/etc.; <br />Backflow preventer (inside <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 exa ined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be compl <br />with whether specifed herein or not. T granting of a permit does nol presume to give authonty to violate or cancel the provision of any other state or local law regulating consWction <br />That I am authorized by the owner o is properly to perform the work forwhich application is made and I comply with the State Contraclors Law 18.27 RCW and 296200A WAC. <br />� � G�� .�--�-- l�� ��� :��;s - <br />Ow uthorized Age Signature te (Revised 4/2015) <br />12 <br />