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PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLI'fiON <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,W A 98201 -425-257-8810—FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED PROM 8 AM TO 4 PM �-II`�I Z <br /> ��� PROPERN7A%p PE MIT# <br /> SIT�O/,�DDoibS�Ave 004391-625-001-00 <br /> ,, -C <br /> LEGAL br new conslructlon: Short Plat�subdivision _Lol No._ (auach copy ol long legal descnption) <br /> OWNERSY.otdal Mutual, LLC Phone�E-ma�l <br /> Address <br /> 2707 Colby Ave GtylSlatelZip Evezett, KA 98021 <br /> CONTRACTOR `�� - Ptovided �i: iscuance L81Lie.# <br /> Address e5�W (���r�m . PhonelEmail <br /> TENANT BUSINESS NAME CON�ACT Fpd2 PERMIT <br /> Bec y Toa PTS, foY AT6T <br /> AT&T M1icbility � <br /> PhonciE�mail -OG-310-1793, btodd�ptswa.com <br /> BUILDING PERMIT APPLICATION CONTR4CT PRICE OF WORK - (�„ � � <br /> EzislingUseofBuilding commercial office space, tclecem facility HEATSOURCE: <br /> Proposed Use o(Building same Gas Eiectdc Other <br /> Building type: _Single Family _Duplex_Townhouse _Multi-Family x Commercial <br /> Type of project: _New _Addilion _Remodel _Repair x T.I._Sign_Sprinklei _Demolition_Change of Use <br /> DescripllonofWork(aAditionalspaceprovidedoniheback):upgrade existing rooftop wireless site by replacing three <br /> ❑ntennas, and adding equipment cabinetc tc a rooftop inside an existing penthouse. <br /> Hava you started working wilhoul a pertnit9 _YES x NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypaofProjacl: _Naw_Addn _Alleralfon_Ropair TypeofProJec�: _Nuw_Addn _Alloration_Ropalr <br /> Show Numbcr(#�ol Rxfurns Show Number�p)ol firfuros <br /> NC-air handlinq units Toilet <br /> Forced air s slems BalhWb <br /> Gas piping Lavalo (wash 6asin) <br /> Waler healer Shower <br /> � Gas fireplace Kitchen sink 8 disposal <br /> Gas mn e Dishwasher <br /> Clothes dryer Clothes washer <br /> Ran�e hood Water heater <br /> Ezhaust tan Sink(servicelbadmoplelc.) <br /> Heal ump Back(low prevenler <br /> � Unil heater Urinal <br /> Boiler Drinking Fountoin <br /> Refn eration Floordrain <br /> Woodstovc Grease trap <br /> � Duclinn RooFdrains <br /> � OUrer_____ __— - _ -- Mediral Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Other: <br /> � Number of Heads Olher: <br /> I hereCy Certify tha!I have read and enamined this appl�cation and 6now the same to be We and correcl.All provisions of laws and orUina�xes goveming <br /> Uv;lype ot wurk mill ba compliea vmh whether specified herein or nol.The granting of a permit dces not presume to giva authomy to calate or cancel <br /> the provi:ion of any olher stale or local law regulating consWction or lhe pedortnance ol conslruction.Thal I am aulhorized by lha ovme�of lhis property <br /> m pedcrm�he�mrk lor�vhich aOPlirU�n is mado and I eomply Hilh Ihe Slale Centraclors Law 1827 RCW and 29fi.200 WAC <br /> `�i.. M--�' �i`�-� °i�2�'� 12 <br /> oam (Revised?/2011) <br /> Owne Authariud �o_t_S aWro �/� <br />