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� w <br /> PERMIT APPLICATiON <br /> BUILDING/MECHANICAL/PLUMBINC/SIGN/�PRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT �ERVIGES <br /> 3200 Cedar St . Evereh, WA 98201 425-257-8810 FAX 425-257-8857 www.evereqttwa org � <br /> APPUCATION$ARE ACCEPTED FROM 8 AM TO 4 PM 1 ��3`I � <br /> SITE ADDRESS: PROPERTY TqX p PERMIT x <br /> 1121 SE Everett Mall Way Ste 200 <br /> LEGAL!or new canstrucUcn S�ort PiaUsuCc���son Lol No_ (ana;h copy d icng iegai acsv��ucn� <br /> OWNER SnoPac 911 - James Robinson Pco���E-R�a�� 425-407-3911 or 425-407-3924 <br /> naareu � 12� SE Everett Nall Wa Ste 200 c�ry�sca«rz�P Everett, WA 98208 <br /> APPLICANT: Owne� OwnersAgent �CortraCor _Contra[:ofsAgent __Te�aM�m.,,,�vo.co.��.,o-���.;��.i�cm�oo.�.��ue�..,�....,maso.+m� <br /> CONTRACTOR D K. S stems Inc. �s i uc z DKSYSI'982L1 COE Bus Lic.#O4g744 <br /> ACdress PO Box 886, Burlington, WA 98233 Pn�-.��eT3�� 360-755-1555 <br /> TENANT BUSINE55 NAME CONTACT FOR PERMIT DdffOfl Df2IC2 <br /> 360-755-1555 or darron@dksystemsinc.com <br /> Pro�ciE-m.r�.l <br /> BUILDING PERMIT APPLICATION CONTRACi PRICE OF WORK $7$ OOO OO <br /> Existing Use of Bwltling 4� � C2II C:Plt}Pf HEAT SOURCE <br /> Pr000sed Use of Bwltling _ Gas_ EieCnc Ome�_ <br /> Budtling rype _S�ngle Fam�ly _Duplex_Townhouse __Multi-Fam�ly �Commerual <br /> T pe of rc�ecf. New Adtlihon Remodel Repair_T I Si n Spnnkler_De.�nolition Chanqe of Use <br /> DESCRIPTION OF W ORK laadrtional space pmviaed on Il:e oackl: <br /> Provide Equipment, Materials, Controls and Labor for new Back-up HVAC System <br /> MECHANICA'L PERMIT APPLICATION PLUMl31NG PERMIT APPLICATIOI�i <br /> 7ypeofProjecC �New__AtlOn _Alleration_Repatr TypeolProject: _New_AtlOn _Alteration_Repart <br /> Show Number(b)ol firtures 51row NumDcr(A)ol(xfures <br /> � NC—art hantllmg unAs I Toilet <br /> Forced av s stems Bathtub <br /> Gas p�pmg I Lavato (wash basin) <br /> � Water heater I Shower <br /> Gas fveplace I Kdchen sink 8 disposal <br /> Gasrange Dishwasher <br /> CIOIhfS tl. '+f CIOIhCS N'25hCf <br /> Range nootl I Water healer <br /> Exhaust fan � Smk serv�celbarlmo letc <br /> Heat Oump � Backllow p�eventer <br /> Uni1 heater Unnal <br /> � Botler Dnnking Fountam <br /> Refnqerahon F!oor tlrain <br /> Woodstove Grease trap <br /> Duclin Roof tlrains <br /> Other Medical Gas <br /> SPRINKLER ! SUPPRESSION SYSTEM � Other. <br /> � Number of Heads Other. <br /> I�em�y rr�i!y Uat I Oare rettl ana examineC N�s apphcapon an0 know Ne same lo Ee frue antl mrtecl All pmvi5ian5 0l laws anC orU�,nances govem nq I�is rype ol woil w"il be mmp':ea <br /> w�N w�eNer spe[Aied nemin ot not TTe 9anl�ng ol a pmm.1�oes not pmsume to grve auNonry lo vialate or cancet the provisron oi any oR�:r state a�ioail iaw mguLiung conslmcLon <br /> TTai i am aul�on[etl oy me owner oi ims properry to perlorm t�e work lor wiecn app!���i��cn u maEe an01 rnmO�Y w��tne Stale Gontrddors Ww iB l7 RCW an�796100A WAC <br /> ��' �....�-- 'lz- <br /> Owner/A W horized Agent Signature Date (Rewsetl 6/2072) <br />