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� � - <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBINGISIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 -425-257-8810-FAX 425-257-8857-wwvv.evere .o�ra7 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 1 PM � o� lI <br /> SITE ADDRESS: PROPERiYTAIf N PERMIT —� <br /> �1 Broadwa Everett IdA 98201 00576002300001 <br /> �ecn�r«r,�w�o�5iticuor,. srwn Piavs�nd��5�on Sines JS Acre Trac�o�r+o._ ca��au��oar m io�¢ieeai aesc�rnaol <br /> OWNER CGP-FSiS 07 LLC PhonelE-mail 425-25.^�-9103 <br /> Address 2829 Rucker Ave. #100 CitylState2ip Everett, WA 98201 <br /> CONTRACTOR TO be determined L81Lic.# <br /> Address PhonelEmait <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT ryan@2812architecture.can <br /> Russell & Hill, Attorneys at Law Pno��-ma�i Ryan Ellinghaus 425-252-2153 <br /> BUILDING PERMIT APPLICATION CONTw+CT PRICE OF WORK $50,000.00 <br /> Exisling Use of Building I3 - Of f ice HEA7 SOURCE: <br /> Proposed Use of Building � - Of fice Gas X Eiectric Other <br /> Buildingtype: _SingleFamily _Duplex_Townhouse _Multi-Family X Commercial <br /> Type of project: _New _Addition _Remodel _Repair X T.I._Sign_Sprinkler_Demolition_Change ot Use <br /> Descnption of Work(addifional spece providedon fhe 6ackJ: <br /> Construction of new offices, open uffice areas, and reception area in existing <br /> office building. <br /> Nave you started working w�thout a permil7 _YES X NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol ProJect: _New_Addn _Alteration_Repalr Type of ProJect: _New_Addn _Alteralion_Repair <br /> Show Number(fq o//lxtures Show Number(MJ of�xfures <br /> A/C—airhandlin unils Toilet <br /> Forced air s stems Bathtub <br /> Gas ipin Lavato (wash basin) <br /> Water healer Shower <br /> Gas fire lace Kitchen sink 8 dis osal <br /> Gas ran e Dishwasher <br /> Clothes d er Clothes washer <br /> Ran e hood Water heater <br /> Exhaust fan Sink service/barlmo /etc. <br /> Heal um BackFlow reventer <br /> Unil healer Urinal <br /> Boiler Drinkin Founlain <br /> Refri eralion Floordrain <br /> Woodstove Grease tra <br /> Ductin Roof drains <br /> Other Medical Gas <br /> SPRINKLER/ SUPPRESSION SYSTEM Other: <br /> Number of Heads Olher: <br /> I hereby certiy thal I have read and ezamined this application and know the same to be bue and correc4 Ail provisions ol laws and ortlinances goveming <br /> this lype ot work xill be wmplied with whether specified herein or noL The granting of a permit dces not presume to give authonry lo violate or carxel <br /> the pryw s�on of any oth � tate or loral law regulaling conslruGion or the pedormance of constmction.Thal I am authorized by the awner of this pmperty <br /> to EA fm the work for i pi� ti i is ma and I compty vnth the State ontractors Law 1827 RCW and 296200 WAC <br /> !'1�-L � % <br /> �O d uthorizedAgentSignatur / Dale (Revised?/lOfiJ <br /> an Ellinghaus 812 Architecture I <br /> � <br />