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� <br />• <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.everetfinra.org <br />ITE ADDRESS: <br />PROPERTY TAX # <br />� <br />for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) <br />Bethanv Christian Assemblv Church <br />2715 Everett Ave <br />Phone/E-mail JSimpson cr,bcachurch.com <br />City/State/Zip Everett WA 9820 <br />LICANT: _ Owner _ Owner's Agent _ Contractor � Contractor'S AgEf1Y _ TBf18f1Y (must provide a letter of consent from the owner to do work in the space) <br />3425 S 146th St, Tukwila WA 98168 <br />Bethany Christian Assembly Church <br />State Lic. # ROOFCW/007Q1 City Bus. Lic. # <br />Pno�eiEma�i 206-439-9991 / sam cr,r <br />Sain Joya / 206-786-2252 <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK ��,14�i,R�S nn <br />Existing Use of Building ( nmmercial HEAT SOURCE: <br />Proposed Use of Building Same 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 (additional space provided on the back) : <br />Removal of existing flat roof and steep slope roof systems. Installation of new Single ply roof at flat areas <br />and new shingle roofing at steep slope areas. <br />MECHANICAL PERMIT APPLICATION <br />of Project: _New_Addn _Alteration _Repair <br />Show Number #) of fixtures <br />A/C — air handling units <br />Forced air systems <br />Gas i in <br />Water heater <br />; Gas fireplace <br />c�as range <br />Clothes drye <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeratioi <br />Woodstove <br />SPRINKLER / SUPPRESSION SYSTEM <br />of Heads <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New_Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />i Toilet <br />i Bathtub <br />Lavatory (wash basin) <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 />Roof drains <br />Medical Gas <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 goveming this type of work will be compi <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 olher slate or local law regulating construction <br />That I am autho ' by the owner of this property to perform the work for which application is made and I comply with the State Contracfors Law 1827 RCW and 296.200A WAC. <br />.�� I� I 1 S � �� ' j z, <br />Owner/Authorized 'gnature Date (Revised 4/2015) <br />