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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.everettwa.org <br />�ITE ADDRESS: <br />927 W Mukilteo Blvd. Everett, WA 98203 <br />for new construction: Short PlaUsubdivision <br />ER Todd Edwin Chase <br />1927 W Mukilteo Blvd <br />PROPERTY TAX # I P�� �VI� �� <br />00417100004701 �� � <br />Lot No. (attach copy of long legal description) <br />Phone/E-mail <br />Everett WA 98203 <br />��� <br />CANT: _ Owner _ Owner's Agent _ Contractor � Contractor�5 A9@f1f _ T2f18f11 (must provide a letter of consent from the owner [o do work �n me sPace� <br />ACTORGeneral D namics Inc. state �ic. # GENERD1927CG City eus. �ic. # <br />296 SW 43�d St., Building 4, Lynnwood WA 98036 Phone/Email 425-740-6392 <br />AT & T Mobility WA6451 Edgewater <br />BUILDING PERMIT APPLICATION <br />CONTACT FOR PERMIT <br />Sharon Snook, Camp+ & Assoc., Inc <br />Phone/E-mai� 206-851-9909 sharon.snook@camE <br />CONTRACT PRICE OF WORK � 1�_ .� �Z' <br />Existing Use of Building Cell Tower HEAT SOURCE: <br />Proposed Use of Building No Change Gas Electric Otner <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 />Replace (2) panel antennas with (2) new panel antennas (3). Removing (2) existing TMAs and adding and adding (4) <br />new TMAs. To the ground equipment add (2) 15AMP Breakers &(2) RRH Units the the new H-Frame <br />MECHANICAL PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Num6er (#) of fixtures <br />A/C — air handlin units <br />Forced air systems <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes drver <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Woodstove <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 fi�rtures <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Sink (service/bar/m <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 correcL All provisions of laws and ordinances governing this type of work will be compl <br />with whether specified herein or noL 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 au[honzed 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 296200A WAC. <br />Sharon S k Camp+ Assoc c, obo General <br />, �%j � � . 5/23/2016 � <br />OwnerlA�t orized geq Signatu `' Date (Revised 9/2014J �'/f ,;� <br />�✓ �r� <br />Dynamics <br />