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. - ( ' <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBING/SIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES v -S — I l <br /> 3200 Cedar St., Everett, WA 98201 -425-257-8810- FAX 425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 1 PM I I l��—U I <br /> SiTEADDrtEss: 1621 CALIFORNIA STREET PROPERTYTAIIM PERMITI ` <br /> 004391625017 <br /> LEGAL lor new constmclion: Shoh Plal/subdrvision Lol No._ (altach copy of long legal description) <br /> OWNER VILLAGE THEATRE Pnone�E•mail (425) 392-1942 <br /> nddress 303 FRONT STREET Ciry/State2ip ISSAQUAH, WA 98027 <br /> CONTRACTOR CoSco Fire PYOteCtiori L81Lic.# COSCOFP110NM <br /> AddresS5000 WOODINVILE-REDMOND RD ifB800, WOODINVILLE,WAphone/Email 425-666-6300 EXT. 1632 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT LUCIA FUNG <br /> VILLAGE THEATRE-YOUTH EDUCATION CTR 425-666-6332 / LFUNGQCOSCOFIRE.COM <br /> Phone/E-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 6, 765 . 0 0 <br /> Ezisling Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas Electric Oiher <br /> Building type: _Single Family _Duplez_Townhouse _Multi-Family _Commercial <br /> Type o(project: _New _Addition _Remodei _Repair_T.I._Sign x Sprinkler_Demolition_Change ol Use <br /> DeScriplion of Work(adAilional space p�ovided on Iho backJ: <br /> Have you atarted working without a pertnit9 _YES X NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type oi ProJect: _New_Addn _Alteratlon_Repair Type of ProJa�t: _Naw_Addn _Altaratlon_Repair <br /> Show Number N)ol Arlures Show NumMr M o/flxtures <br /> A/C—air handlin units Toilet <br /> Forced air s s;ems Balhtub <br /> Gas i in Lavato wash basin <br /> Waler heater Shower <br /> Gas frte lace Kitchen sink 8 dis sal <br /> Gas ran e Dishwasher <br /> Clothes d er Clothes washer <br /> Ran e hood Water healer <br /> Exhaustfan Sink service/bar/mo /etc. <br /> � Heat um Backflow reventer <br /> Unit heater Urinal <br /> Boiler Drinkin Fountain <br /> Refri eralion Floor drain <br /> Woodslove Grease Va <br /> Ductin Roof drains <br /> Other Medical Gas <br /> SPRINKLER/ SUPPRESSION SYSTEM Other: <br /> 3 8 Number of Heads Olher: <br /> I hereby c:rw;Ihat I have read and e.amined Ihis applicalion and know the same lo be Irue and cortecl.A�I provisions o1lev.s and oMinances goveming <br /> Ihis type�f w,.�k will be complied wilh wfiether specified herein or noL The granting ol a permil does nol presume lo give aulhonly lo violate or cancel <br /> ihe provision ol any olher stale or local law regulating conslmction or Ihe peAonoance of consWction.That 1 am authorized by lhe owner of this property <br /> lo p Aorm 1 e wvrk for which applicafion is made and I comply wilh Ihe Slale Conlraclors Law 18.27 RCW and 296.200 WAC <br /> �� , �`��D'L��"1.01� <br /> O erlAuthodz� gentSignature Oate (RevisedY2011)I <br /> � <br />