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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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ADDRESS: 9506 7TH AVE SE , EVERETT, WA 98208-3707 PROPERTY TAX # 28O�J� H003OZ� OO P MIT # <br />�/� %�f)/� <br />EGAL for new construction: Short PlaUsubdivision see attached Lot No. (attach copy of long legal description) <br />ER Eastlake Community Church <br />9506 7TH AVE SE <br />Owner _ Owner's Agent <br />Owner/Employees <br />Pno�e,E-ma;i griffincampbell@eastlakecc.com <br />ICitylState/Zip EVERETT, WA 98208-3707 <br />Contractor _ Contractor'S A j@flt _ T0f12f1t (must provide a lelter of wnsent from the owner to do work in lhe space) <br />L&ILic.# <br />9506 7TH AVE SE , EVERETT, WA 98208-3707 <br />Eastlake Community Church <br />BUILDING PERMIT APPLICATION <br />COE Bus. Lic. # <br />hone�Email 206.793.0792 griffincampbell@eastlakecc.com <br />William@nwpermit.com / 206-601-7043 <br />PRICE OF WORK <br />Existing Use of Building 691 Religious Activities (Churches Synagogues Etc. HEAT SOURCE: <br />Proposed Use of Building 691 Religious Activities (Churches Synagogues Etc. Gas_ Electric_ Other <br />Building type: _ Single Family _ Duplex _Townhouse _ i-Family �Commercial <br />Type of project: New Addition Remodel Repai � T.I. _ Sign _Sprinkler _Demolition Change of Use <br />DESCRIPTION OF WORK (additional space provided on the back) : <br />Tenant improvement build-out of previously demolished interior under permit #B1305024 including <br />structural revisions, partial re-roof and load changes per plan. <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 svstems <br />Water heater <br />Gas firep�ace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refriaeration <br />Ducting <br />Other <br />SPRINKLER / SUPPRESSION SYSTEM <br />Number of Heads <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fxtures <br />Toilet <br />Bathtub <br />; Lavatory (wash basin) <br />I Shower <br />; Kitchen sink & disposal <br />! Dishwasher <br />� Clothes washer <br />Sink (service/bar/i <br />Backflow prevente <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Roof drains <br />Medical Gas <br />Other: <br />Other: <br />I hereby certify that 1 have read and examined this application and know the same to be true and correct. AII provisions of laws and ordinances governing ihis type of work will be complied <br />wdh 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 conslrudion <br />That I am authorized by the owner of this o pertorm the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296200A WAC. <br />��O ����� + \� � <br />Own�a•lR.�tfao�•bzed sa���r`. �ic�r�a�u�� Date (ReviseJ bi1092) <br />