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� PERMIT APPLICATIO� 3�ai��� <br /> BUILDING/MECHANICAIJPLUMBING/SIGN <br /> ISPRINKLEi�ID�MOLITION <br /> CIiY OF EVERETT PERMIT SERVICLS <br /> 3200 Cedar St., Everett, `J�A 98201 -425-257-8810- FAX 425-257-6857-www.e e twa.org <br /> f�PPLICATIONS ARE ACCEPTED f�ROM e AM TO 1 PM —O <br /> $ITE ADDRESS: PROPERIYTAXN � <br /> 6617 Anoocla[ed GlVd, EVe[e[[, WA, 9�20J 28040100303300 <br /> LEGAL lor new conctrucUon�. Shotl PlaUaubdivision Lot No._ (a�lech w0Y ol lonp bpal deecnplion) <br /> OWNER MO[JNTAIN VIEW PG LL� Phone/E-mail <br /> naarass 16400 SOUTHCENTER PKL4Y STE 502 a�yisiaieiz�v Seattle WA 98188 <br /> CON7RAC7oR Fire S rinklers Inc. LBILIc. # FIRESI*988RJ <br /> nedress 1524 45th St E, #102, Sumner WA 98390 Prwne�Emei� z53-826-0099 <br /> N e N Travis Kinne <br /> PODS PhoadE-mail ZS1-926-0099 travinafireaprinklerelnacom <br /> BUILDINa PERMIT APPLICATION CONTRACT PRICE OF WORK S 3 , 6 3 9 <br /> Exishng Use ol Building HEAT SOURCE: <br /> Proposed Use ol8uilding Gae_ Ebcinc_ Other_ <br /> Building type: _Single Family _Duplez_Townhouse _Mulli-Family X Commercial <br /> Type of project: _New _Addilion _Remodel _Repair_T.I._Sign X Sprinkler_Demolilion_Change of Use <br /> Descrip�ion ol Work(tMdRional spece provided on Ihe 6eck�: <br /> Add 11 Sprinkler heads for new office space in existing warehouse. <br /> Have you staAed working wllhout a pe�mlt7 _YES _NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typa al Pro�ed: _Naw_Addn _Alterellon_Rapalr Typa ol ProJad: _New_Addn _Alt�ratlon_R�palr <br /> SAow Numbe�(N)oll7rfures Show Numb�r /)o/fl+funs <br /> � A/C—av handll unils Toilet <br /> Forced ah s stems Bathtub <br /> � Gas i in Lavato wash basin <br /> W aler heater Shower <br /> Gas lire lace I Kitchen sink 8 dis �sal <br /> Gas ran e i Dishwasher <br /> Clothes d er Clothes washer <br /> Ran e hood W ater heater <br /> � Exhausl fan Sink service/barlmo etc. <br /> Heat um Backflow reven�er <br /> Und heate� Urinal <br /> ; Boiler Dnnkm Founlain <br /> Re, Irlgeration Ftoordrain <br /> i Woodstove Grease tra <br /> DucUn Roal drains <br /> Olher Medical Gas <br /> SPRINKLER I 8UPPRESSION EYdTEM otner <br /> 11 Numboi ol Heads I Olher: <br /> I hereby cerldy Ihat I have read end ezammed Ihls aDPGcalion erM know itro eame lo be lrue aM wrtect.All provisions ol lews anA oNinances govemirp <br /> Ihie type ol wod w+ll be wmpfieA vnth whether apeufieA herein or nal The grenlr.p ol e permit does rat presume lo qiva authonty lo vblale or uncel <br /> the provis�on of eny olher slate or local law rogulahng conslnxtan or IM pedormance of wnelructan.Thal I am auttanzed by 1he awner ollhis propeNy <br /> to yedorm Ihe work lor wh�ch applic�alb i made arW 1 wmply w�lh ihe Stale Conlraclon Law 1827 RCW end 298.200 WAC <br /> ��I' /l �'�- ��7z�. 3— z i - l l <br /> rlAuthori:ed Aq�nt Sipn�tun Dale (ReNaed Y10f f) <br />