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r <br />1 <br />� <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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ITE ADDRESS: PROPERTY TAX # P RMIT # <br />2811 Oakes Ave., Everett. WA 98201 �f/1 I�,���� �n'% <br />for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) <br />=R Cit of Everett Phone/E-mai� Scott Pattison 425-257-8846 <br />5 3101 Cedar Street City/State/Zip Everett, WA 98201 <br />ICANT: _ Owner _ OwnePs Agent � Contractor _ Contractor'S AgBflt _ Ten2tlt (must provide a �etter of consent from me owner ro do vrork in the space) <br />RACTOR D.K. S stems, Inc. - DKSYSI*982L1 L 8� I Lic. # 030,428-00 COE Bus. Lic. # <br />s PO Box 886, Bu�lingtotl, WA 98233 Phone�Emai� 360-755-1555 <br />City of Everett - 2811 Warehouse <br />BUILDING PERMIT APPLICATION <br />CONTACT FOR PERMIT Darron Drake 360-770-0950 <br />Phone/E-mail darron@dksystemsinc.com <br />CONTRACT PRICE OF WORK $'I Z7.�JOO.00 <br />Existing Use of Building _ WarehouSA � <br />Proposed Use of Building Warehouse <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi-Family � Commercial <br />Type of project: X New _ Addition Remodel Repair _ T.I. _ Sign _Sprinkler <br />DESCRIPTION OF WORK (additional space provided on the back) : <br />5 - Air Handlers <br />1 - Boiler <br />MECHANICAL PERMIT APPLICATION <br />Type of Project: �New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />g ' A/C — air handling units <br />water neate <br />Gas fireplac <br />Gas range <br />Clothes dryE <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Woodstove <br />SPRINKLER / SUPPRESSION SYSTEM <br />; Number of Heads <br />HEAT SOURCE: <br />on Chanae of Use <br />PLUMBING PERMIT APPLICATION <br />of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />Toilet <br />� Bathtub <br />sink & disposal <br />washer <br />reventer <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 correct. All provisions of laws and ordinances goveming this type of work will be complied <br />with whether specified 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 authorized by the owner of this property to perfortn the work for which application is made and I comply with the State Contradors Law 1827 RCW and 296.200A WAC. <br />�� /,� � _��.- � �� �'z <br />Owner/Authorized Agent Signature Date (Revised 6/2012) <br />