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PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 -425-257-881 0-FAX 425-257-8857-www.everettwa.oIrg' <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM .�- —I M'-'�3 <br /> SITE ADDRESS: PROP[H7YTAx x PERMiT# ,_� <br /> 1321 Colb Ave �verett �� ��� ��, -���f�j <br /> i <br /> LEGAL for new eonsirudion, Shor1 PlaVsubdivislon _lol No._ (atlach eopy ol long legal descnplion) <br /> OWNER Phone/Gmail <br /> naamss 1 802 Li.nd I�vc S� P90i 6 cityrsiaierz�P Renton WA 98057 <br /> CONTRAC70R PSF Mechanical Inc. L&ILic.# - - <br /> ndaress 9322 19th Ave S SCattle� WA 9870F7 PhondEmail 206-812-7678 <br /> 7ENANTBUSIN[SSNAME CONTACTFORPERMIT z06-812-7678 <br /> Cel.lnetix Karen George <br /> Phone/E-mail k eor ef� sfinech. com <br /> BUILDING PERMIT APPLICATION CONrRACTPRIceoFwoRK <br /> ExislingUseofBuilding �Yovid�nce Hospital HEATSOURCE: <br /> ProposedUsr.otBuilding New offices for Ce].lnetix cas E�edric other <br /> Duiltling type: _Single Famity _Du,lex_Townhouse _Mulfi-Family X Commercial <br /> Typeotproject _New _Addition _Remodei _Repair_T.I._Sign_Sprinkler_Demolition_Change otUse <br /> Descnption of Work(eddrtional sparn provided on the back): <br /> * 2 single and dual duct terminals * 3z Diffusers <br /> * 2 VAV' s * 150 ft of ducting <br /> Have you staked working wilhou[a pertnit4 _YES X NO <br /> MECHANICAL PERMIT APPLICATION PWMBING PERMIT APPUCATION <br /> TypuoTProJocl: _Now_Addn _Allcration_Ropair TypootProJacl: _Naw_Addn _Allcrellon_Repair <br /> Show Number(aJ o/lixfurcs Show Numbcr(a)o/Ilxiums <br /> A/C-airhandlin units Toilet <br /> Forced air s slems Bathlub <br /> Gas i ing lavalo (wash basin <br /> Water heater Shower <br /> Gaslireplace 13teakroom slnk� <br /> Gas ran e Dishwasher <br /> Clothes d er Clolhes washer <br /> Ran e hood VJater heater <br /> Exhaus!fan Sink(servicelbadmo /etc. <br /> Heat pum Backflow reventer <br /> � Unit heater _ Unnal <br /> � Boiler Drinkin Founlain <br /> � Refri eralion I Floor drain <br /> � � Woodstove Grease Ira <br /> � Duclin I Roof dreins <br /> ' Other Medical Gas <br /> SPRINKLER/ SUPPRESSION SYSTEM � other: <br /> � Number of Heads I Other: <br /> � r�ere6y certi�y�hal I have read and ezamined lhis applicalian end know Ihe same lo ba truo and conecl.All provisions ol laws and ordinances goveming <br /> +n�;type ol work wili be tomplied with whelhet specilled heroin ar not.The granting ot a permit does not presumo lo give aulhority to violate or cancel <br /> ;1.o provision ol eny other slale ot local law reguialing tonsduGion or Ihn pedomianca of conslruclion.Thal I am authorized 6y lhe owner of this property <br /> i•.pedorm tha work for which app�icati is made and I comply wilh lhe Stale Contrectors Law 1827 RCW and 296200 WAC <br /> �J � <br /> / /i';;,'' �f t'%�,���� !Y � '_� �_� <br /> Ow orlAuthorizo genl Sign�urc <br /> / Dala (Revised7l2017) <br /> % <br /> / 1 <br /> i -. <br />