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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT F tRM1T SERVICES /67,tea S 4 <br />3200 Cedar St, Everett, WA 98201 - 425-257-8810 - FAX 425.257-8857 - www.evefetTWa.Org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS: 2802WETMOREAVE +MWeRTYTNza 43916670210000 <br />FVCRFTT WAgR701 <br />LEGAL for new constructim Short plausubdw,swn Trinity Lutheran College Lot N021_Maniac, cow of long legal description) <br />OWNER TRINITY LUTHERAN COLLEGE Phan/E-mrl (206) 766-4288 george.graham@macmiller.com <br />Address 2802 WESTMORE AVE CnyrStaterzip E\ ERETT, WA 98201 <br />CONTRACTOR MACDONALD MILLER L 81 Lic. a MACDOFS980RU 12-31-12 <br />(206) 768.4278 dada.doll@macmiller.com <br />7717 DETROIT AVE SW SEATTLE, WA 98106 moo <br />Address <br />TEN —ANT BUSINESS NAME <br />C NPERMIT DARLA DOLL <br />TRINITY LUTHERAN COLLEGE - BRAMMER CHAPEL <br />(206) 768-4278 dada.doll@macmiller.com Ed <br />phono/E-mad <br />PRICE OF WORK $ 38,600.00 <br />BUILDING PERMIT APPLICATION ICONTRACT <br />Existing Led of Building COMMERICAL I COLLEGE HEAT SOURCE: <br />Proposed Use of Building NO CHANGE Gas ENdnc X Other <br />Building type. Family_ Duplex _Townhouse _ Mufti -Family X Commercial <br />_Single <br />Type of project _ New _ Addition _ Remodel _ Repair 2L T.I. _ Sign _Sprinkler _Demolition_ Change al Use <br />Description of Work (additronsl space Provided On the bacA): <br />RELOCATE (10) VAV BOXES, INSTALL (31) DIFFUSERIGRILLES AND MISC DUCTWORK <br />Have you started working without a permit? _YES X NO <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New _Addn 2_Alteratlon _Repair <br />Type of Project: _New _Addn _Alteretlon _Repair <br />Show Number flat of fixtures <br />Show NumDw of Rxruras <br />A/C - air hanalling units <br />Toilet - <br />Bathtub <br />Lavelo wash basin) <br />Forced au systems <br />Gas pi in <br />I Water heater <br />Shower <br />I Gas fireplace <br />Kitchen sink d disposal <br />Gas ran a <br />Dishwasher <br />Clothes dryer <br />Clothes washer <br />Ran to hood <br />Water beater <br />Exhaust fan <br />I Sink servicelbarlmo /etc <br />Heal um <br />Backnow reventer <br />Unit heater <br />Urinal <br />Boiler <br />Drinking Fountain <br />Refn eration <br />Floor brain <br />Woodstove <br />I Grease lea <br />Ducting <br />Roof drains <br />10 Other VAV BOXES <br />Medical Gas <br />SPRINKLER / SUPPRESSION SYSTEM <br />Other: <br />1 Number of Heads <br />Other: <br />I hereby certify that I have read and a+amined this apphW ion and knowlhe same Id be true ant ODnvct An provisions of laws and ordinances goverreng <br />Nis type of work awll be Wmpl,ed wlh wt elh r speol,ed herein or not The granting Ora permit aces not presume to give auhamy to vmiste or cancel <br />the prdvis.on of any other slate or local law regulatmg ConstNCu,, or the performance of constru:tiM. That I am aulhonfed by the owner or this VOP" <br />to �eriorm-Mevork for which apples\l,dn is made and I comply wttn the State Contractors Low 16.27 RCW and 29e 200 WAC <br />10-13-2011 <br />OwneHAWhorlied Agent Signature Date (Revised Z'2011) <br />r <br />�l a- <br />