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� c <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 -425-257-8810—FAX 425-257-8857—wuvw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -�O 3`)� <br /> SITEADDRESS: PROPERTY7AXtt 00393200201500 P �T <br /> 5821 Evergreen Way � 0 - ,S� <br /> LEGAL for new construction: Short Plat/subdivision Lol No._ (allach wpy of long legal descriplian) <br /> OWNER Demos Development Corporation Phone/E•mail 425348-5911 <br /> Address 10706 571h PL W. City/StatelZip Mukile�o,Mukile�o WA 98275 <br /> City ol Everell Business L¢arue NOC7673 <br /> CONTRACTOR Pacifc5tainlessProduds L81Lic.# Was�itqlonCon�tattorsLrcenSePAGFSP117B7 <br /> Mail Atleress.PO Boa 700 SI.Helens OR 97057 <br /> Address BuSmess AtlOrass'.5BXID MCNuMy Way 5t.Hebns OR 97051 PhonelEmall 503•397-1277 brulh@pacificstainless.com <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT Bob Rulh Design Sales Engineer <br /> NICK JR GREEK PH 503-397-1277 bruth@pacificstainless.com <br /> Phone/E-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK §1B286.00 <br /> Existing Use of Building Restaurant HEAT SOURCE: <br /> Proposed Use o(Building Restaurant Gas_ Electric Other <br /> Building type: _S' le Family _Duplex_Townhouse _Multi-Family Commercial <br /> Type of project: �ew _Addition _Remodel _Repair_T.I._Sign_Sprinkler_Demolition_Change of Use <br /> Description of Work(additional space provided on fAe back): <br /> Have you started working without a permi[? _YES �NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ot Project: New_Addn _Alteration_Repalr Type ot ProJect: _New_Addn _Alteratlon_Repalr <br /> Show Number(#)o/fixtures Show Number(M)a��Mures <br /> � A/C-airhandlin units I Toilel <br /> I Forced air s stems Bathtub <br /> I Gas pipin I Lavato (wash basin) <br /> � Water heater I Shower <br /> I Gas fireplace I Kitchen sink 8 dis osal <br /> � Gasran e I Dishwasher <br /> I Clothes d er I Clothes washer <br /> t � Ran e hood Water heater <br /> 7 I Exhaust fan � Sink(servicelbar/mo /etc.) <br /> � Heat pump I Back9ow preventer <br /> � Unit heater I Urinal <br /> � Boiler I Drinkin Fountain <br /> � Refri eretion I Floordrain <br /> � Woodslove � Grease lrap <br /> 2 I Ductin I Roof drains <br /> � � Other MUA Supply Fan for Range Hood I Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM I Other: <br /> � Number of Heads I Other: <br /> I hereby ceAify Ihat I have read and examined this applicalion and know lhe same to be lrue and cortect.All provisions of laws and ordinances goveming <br /> Ihis type of work will be complied wilh whether specifed herein or nol.The g2nling of a pertnil does noI presume�o give aulhority to violate or cancel <br /> Ihe provision of any other slate or local law regulating consirt�.ction or ihe pertormance of consiruclion.Thal I am aulhorized by ihe owner of this property <br /> to pertorm lhe work for which applicali is made and I comply with the State Conlractors Law 78.27 RCW and 296.200 WAC <br /> � n�r <br /> Own�sl borized Agent Slgnah re Date (Revised?/2017) <br /> I�� <br />