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�PERMIT APPLICATIO� <br /> BUILDINGIMECHANICAUPLUMBtNG/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 -425-257-8810-FAX 425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM t AM TO 1 PM <br /> PROPERTY TAX M PERMIT t r` <br /> SITE ADDRE33: 0043-907-140-0100 � <br /> 3001 Oakes Avenue <br /> LEOAL tor naw eonstrudion: Short PlaVsubdivisbn Lot No._ (atlaU topy ot lorp lepel desaiption) � <br /> OWNERSnohomish Count / Facilities De t. P�onefE-mail 425-388-3320 •� y <br /> nddress3000 Rockefeller M/S 404 Cityistate2ip Everett, WA 98201 <br /> �3L <br /> �b <br /> CONTRACTOk L 8 I Lic.N `Q, <br /> Address PhonelEmail `` <br /> TENANT BU INESS NAME CONTACT F R PERMIT <br /> Debbie Porter debbie.porter@co.sno O <br /> Snohomish County ahoner�-ma�388-3320 homish wa. s 7 <br /> BUILDING PERMIT APPLICATION CON7RACT PRICE OF wORK�ji r»�b <br /> EzistingUseofBuiiding�ffice/formerly residential HEATSOURCE: <br /> ProposedUseofBuilding preparation for future office use x Gas Eledric otner <br /> Buiiding type: _Single Family _Duplex_Townhouse _Multi-family X Commercial <br /> Type ot projed: _New _Addition _Remadel _Repair X T.I._Sign_Sprinkler_Demolitian_Change of Use <br /> Descripti0n o(Work(addifional space providad on the back): <br /> Voluntary owner—initiated seismic improvements/upgrades; removal of existing <br /> partitions and ceiling elemen[s <br /> Have you�Lrhd working without a permit9 _YES x NO <br /> MECHANICAL PERMIT APPLICATION PLUMBIN6 PERMIT APPLICATION <br /> Typa of ProJ�et: _1Mw_AtlC� _AlhMlon_R�pdr Typa M Proj�et: _INw_Addn _AlbrNlon_W Wir <br /> Show NumMr(q o lixfuns Show NumDw W Nxhwp <br /> AIC—air handlin units Toilet <br /> Forced air s stems Bathtub <br /> Gas i in Lavato wash basin <br /> Water heater Shower <br /> Gas fire lace Kdchen aink 8 dis I <br /> Gas ran e Dishwasher <br /> Clothes d er Clothes washer <br /> Ran e hood Weter heater <br /> Exhaust tan Sink servioelbarlm etc. <br /> Heal um Beckfiow reventer <br /> Unit heater Urinel <br /> Bailer Drinkin Fountain <br /> Refri eration Floor drein <br /> Woodstove Grease tra <br /> Dudin Root drains <br /> Other ldedical Gas <br /> SPRINKLER / SUPPRE8810N SYSTEM Olher: <br /> Number of Heads Other: <br /> I hereby certiry that I heve read antl examined this application and know Ihe same to be true antl correU.All provislons ot laws and ordinances goveminp <br /> Nis�ype of work will be complied vrit�whMher specified herein or not.The grenting ol a permit does not presume to give authorily to vidale or wncel <br /> Ihe provision of any other stale or local law regulating construction or Ihe peAormance of consiruction.T�at I am aNhorized by the ovmer ol this prope�ty <br /> !o perlorm the work for which appliwlion is made and I comply vrith the Slate Contradors Law 78.27 RCW and 298.200 WAC <br /> %���/ � � <br /> OwnsdAuMoriz�d Ap�nt Slgnature Dale (�������� <br /> �/ <br /> a^ <br />