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' PEt2MIT APPLICATION � <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES (J �-Oy�-// <br /> 3200 Cedar Sl., Everetl, WA 98201 -425-257-8810—FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM FCE Job 11•2390 <br /> SITE ADDRESS: (SOO MCITIII C�C@I(PB�I(Way � PROPERTY TA%N �M T M/, Q� <br /> LEGAL lor now conslruction: Short PlaVsubdivision Lot No._ (attach copy oi long legal description) <br /> OWNER AVTECH Corporation Phono/E-mail <br /> Address 6500 Merill Creek Parkway CiIylSta�e/Zip <br /> coNrr�croR Fire Chief equipment �s i u�.u FIRECCE93624 <br /> Address PO Box 659-Redmond,Wa 98052 PhonelEmail 425•512-1225;babv@fire�chief.com <br /> TENANT BUSINESS NAME CONTACT FOR PERM17 <br /> AVTECH RobertV 206•930•5003; bobv irechief.com <br /> Phone/E-mail � � <br /> BUILD/NG PERM/T APPLICAT/ON CONTRACT PRICE OF WORK 56.�5�.00 <br /> Existing Use of Building eS HEAT SOURCE: <br /> Proposed Use of Building Gas_ Eledric Other <br /> Building type: _Single Family _Dupiex_Townhouse _Multi-Family _Commercial <br /> Type of proJect: _New _Addition _Remodel _Repair_T.I._Sign_Sprinkler_Demoiition_Changa ot Use <br /> DesCriplion of Work(edditional space provided on fhe back): J(_FIfC$I1PP�85510I1$yS�BIII fOf�111@Ch01C ChBRItlC� <br /> Using FM•200 agent <br /> Have you started working without a permit7 _YES _NO <br /> MECHANICAL PERM/T APPLICAT/ON PLUMB/NG PERM/T aPPLICAT/ON <br /> Type of ProJe�t: _Naw_Addn _AMaratlon_Rapair Typa of ProJa�t: _._New_Addn _Altantion_Rapair <br /> Show Number(N)o/flrtures Show Num6ar(N)o/Rxturos <br /> �JC—air handlin units Toilet <br /> Forced air s stems Bathtub <br /> Gas pipin Lavato (wash basin) <br /> Water heater Shower <br /> Gas fireplace Kitchen sink 8 disposal <br /> Gas ran e Dishwasher <br /> Clothes d er Clothes washer <br /> Ran e hood Water heater <br /> Exhaust fan Sink servicelbarlmo elc. <br /> Heal um Backflow reventer <br /> Unit heater Urinal <br /> Boiler Drtnkin Fountain <br /> Refri eration Floor drain <br /> Woodstove Grease trap <br /> Ductin Roof drains <br /> Olher Medical Gas <br /> SPR/NKLER 1 SUPPRESSION SYSTEM Other. <br /> FM•200 Syste � Number of Heads omer: <br /> 1 hereby certily that I have read and ezamined this appliwtion and know 1he same lo be true and cortect.All provisions of laws and ordinances goveming <br /> this rype of work Will be complied with whelher spoci(ed hnrein or not.Tha granting of a permit dces nol presumo�0 9ivo authonty lo vioialo or cancel <br /> the provision ol ahy other stale or local law regulating constniclion or the perlormance ol mnsin�ction.That 1 am authonzed by the awner ol lhis property <br /> to peAorm the rk for whicl licallon is 7nade arN I comply with lhe State Cantrectors Law 18.27 RCW and 296.200 WAC <br /> �_' _ <br /> , ./� �-( 11-3•11 <br /> OwnerlAuthorizedAgent IpnaWre 1 Date (Revisetll/201f) <br /> �z� ���, , v �� ,- <br />