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• � <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />r3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 wuvw.everettwa.org <br />•�V APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ITE DRESS: PROPERTY TAX # P RMIT # <br />906 Everett Mall Way., Everett, WA 98201 28051800308500 V�/1 i � �!1'� -'F��i� <br />�GAL for new construction: Short PlaUsubdivision <br />No. (attach copy of long legal description) <br />OWNER pflue er-Everett Holdin s LLC PnoneiE-ma�i Heather.Stark@colliers.com 206-515-4494 <br />Address 601 Union St. #5300 City/State/Zip Seattle, WA 98101 <br />APPLICANT: _ Owner _ Owner's Agent � Contractor _ Contractor�S Ag2f1Y _ T6f18f1i (must provide a letter of consent from the owner to do work in the space) <br />CONTRACTOR D.K. S stems, Inc. - DKSYSI'�982L1 L& I Lic. # 030,428-00 COE Bus. Lic. # <br />Address PO BOx 886, Burllllgton, WA 98233 Pho�e/Emai� 360-755-1555 � <br />TENANT BUSINESS NAME CONTACT FOR PERMIT John Bateman 360-770-5409 <br />Express Employment Phone/E-mail johnb@dksystemsinc.com <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK $ 2.350.00 <br />Existing Use of Building Rl1SitlPss HEAT SOURCE: <br />Proposed Use of Building gUSItIESS 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 />Install 4- Existing Control Sensor for Fan Terminal Unit in new Wall. <br />Install 110CFM Ex Fan in Bathroom - exiting the Bldg at Southwest Entrance via the Soffit. <br />MECHANICAL PERMIT APPLICATION <br />of Project: _New_Addn _Alteration _Repair <br />Show Number (#) of fixfures <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas ran e <br />Clothes dryer <br />Range hood <br />� Exhaust fan <br />heater <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 />Lavatory (wash basii <br />Shower <br />Kitchen sink & dispo <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/mo <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <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 goveming this type of work will be complied <br />with whether spec ed 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 authorize by the owner of this prope�erform the work for which application is made and I comply with the State Contractors Law 1827 RCW and 296.200A WAC. <br />T <br />re <br />04/14/2016 <br />Date <br />(Revised 6/2012) <br />� ',> <br />C- <br />