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PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St , Everett, W.A 98201 425-257-8810 FAX 425-257-8457 �wvw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />re nooRess: � 360 Bruskrud Rd <br />loi new con5lmction Shotl PlaVsu��w�sion WSDOT R-0•W Lol tJo <br />OWNER <br />Aaa.�ss P.O. Box 42626 <br />M <br />(allach copy cl ion9 lepai descriplron) <br />��a�e��.�,,,� 360-561 •0733 I <br />WA 98504-2626 <br />APPLICANT: X Q,vner _UwneisAgenl _Comia:lor _Cunlyd[10Y5Agenl _Tenanll.-�:�nv.,cvn�,:r.r�.irons�niromvo�.,r�ioan.,vnvo,;acoi <br />Washington Stafe Patrol <br />BUILDING PERMIT APPLICATION <br />E I Lir, p <br />CO[ Dus L�c Jt <br />Tom San(ord, Architect, MSGS Archilects <br />�n��ae mAa 360•943•6774 x-102 I tomcnrr <br />PRICE OF WOFK �,RB(?.00O <br />Use ol Buildmg Deslro���_building - cD1p11jEjG1$I(�j$([Q� 0(C. � <br />a u5e o� e���a��9 Commercial / Patrol Office <br />type� _ Single Famdy _ U�iple. _Townhouse _ LIWh-Family �, Commernal <br />iESCRIPTION OF WORK (ade�oone�spacc��c�.�ececn rnebx%r�� <br />New, single-slory, vehicle scale operafions building with lobby, support offices, toilet & break rooms, <br />mechanical, elecfrical and communications equipmenl rooms. Minor site improvemenls in vicinity <br />of the building. Building replaces former scale building destroyed by vehicular impact, <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />Typn ol Prajecl: jLNew _Adtln _Allcratfan _Repair <br />Shaw Num6cr (B) ol fi+fures <br />NC – �ir hindling untls <br />Forced air svstems <br />liood <br />of Ilcads <br />ol ProJecl: ]�New _Addn _Altcratlon _Repair <br />Metl�cal Gas <br />Olher I[C N <br />(lthnr Wall <br />hasm <br />I �erebY ����Y ��nl I nava rcad tnd e.am:,�ed �'��s app'� u�l:c� nn� Inox I�o same lo �e Ime ani �n�recl Ait provitm�s ol laws nn� orE�iances gove�mnp I�ia t�pe ol werk wEl Do compb�d <br />vnln x�elner speuSeO he�e�n or nol Tpe q�anpng ol a pe�m.l aaes no' v�esvme lo gme aoNcnly la no�dle or �iq�el I�e preve nn d a�Y o;ner sinle or bcnl Imv �egulat�ng mns:mcLon <br />ihal I �m aulhOniCE OY ��e owner o� I�a proDehy lo DeKCrm I�e worl loi M�¢n afCl �,at�c� n.Tade nnd I[omp!� wl� Ihe 5'alr Con!ra7ors LPH 1q P RC W enE :9G 700A WAC <br />_ ,(� <br />?�na'' � L�' �2oI `} <br />OwnrdAuthodzed Agen Signaturo �— aie U+er"°d F^.Oi7! <br />