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' � <br />�:,.: <br /> �r�_` � <br />� f, :i <br />` �'` � PERMIT APPLICATION <br />,.; - � <br />„;;,, ,__,, BUILDING/MECHANlCALIPLUMBING/SIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERYICES <br /> 3200 Cedar 5t., Everett, WA 98201 -425-257-8810—FAX 425•2�7-8857—�wvw.everetriva org 'f � <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 3 <br /> $ITE ADDRESS: PROPeRTrTA%u OOS76003200010 P �T Q l �' <br /> 2408 39TH 5'i REE'� EVERETT.WA 98203 �� ��� <br /> LEGAL tor�ewc,^,rstmcnon� 5^,on Piavsu[4rns��on S W ES J S ACRE Lot ho._ (attach cocY c�!ona iegai aescnpt�on� <br /> OWNER AT&T MOBILITY E�AFFILIATES (�honeJ[-maA (206)768-4200 sleve.hargrove@macmiileccom <br /> Fd�ress PO BOX 66786 c�iyisiaiuz�o ST LOUIS. MO 63166 <br /> CON7RAC70R MACDONALt�MILLER �81 Lic.p MACDOFS960RU 1231-12 <br /> 4C9e55 <br /> 7717 DETROIT AVE SW SEATTLE,WA 98105 ano�c.�ema�i�Z06)768•4278 darla.doll@macmiller.com <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT DARLA DOLL <br /> AT&T-PINEHURST PhOnML�rna�l (z06)768-4278 darla.dolicmacmilleccom <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 5 13.100.00 <br /> Exlsting Use at B�iilding CELL SITE TOWER HEAT SOURCE. <br /> Proposed Use of 8uilding NO CHANGE cas E�eunc X Omer <br /> Building type: Singiz Family _Duplez_Townhouse Nulli•Family X Commercial <br /> Type of project_New _Additicn _Remotlel _Repair X T.I._Sign_Sprmkler_Demoii6on_Cnange ot Us? <br /> DcSeription of Work(atltlRio�al s0ow p�ovided on the oacA)� <br /> REPLACE(2)EXISTING WALL MOUNTED AC UNITS WITH(2)NEW WLL MOUINTED AC UNITS FOR TELECOMM <br /> ROOM-"LIKE-FOR-LIKE"CHANGE OUT <br /> Have you staAed working without a pormit� _YES X NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypeolProject: _Now_Atltln �Altoratlon_Ropalr Typoo/ProJect: _New_AtlOn _Altaration,_Ropalr <br /> Shaw Number(tl)ol I/rtums Show Number(N)e�nMures <br /> fVC—air han0lin unils � TOilet <br /> Forcetl air s stems Bathtub <br /> Gas oipm I.avate �(wash baSiN <br /> Watcr healer Shower <br /> Gas Lreplace ' Kitchen sink&tlispasal <br /> Gas ranae Dishwasher <br /> Cimnes d er Clothes washe� <br /> Ran e hood Water heater <br />�� Stnk(servlcelbarlm00%etc.) <br />�� Exhaust fan <br /> HeOI Dump 8ack0ow roventer <br /> Umt healcr Urnal <br /> �o�.ler Drinkin Fountain <br /> RMri eration Floor drein <br /> � Woodstovc ' Greasetrap <br /> Ducting Roo(drains <br /> Olher Metlicai Gas <br /> SPRINKLER / SUPPRESSION SYSTEM O�her. <br /> �'� Number of Heads Other. <br /> �� <br /> I hemCy certily Inal I�ave�eatl antl eKammetl IR�s applicatio�ana hnow Ihe ume lo M�true a�E cortec; Ail prov�sbns ol iaws antl ortl:nances 9ove�mng <br /> tnis type o�v.o.x�M��i oa complrea wtn wnetner spenfiea here�n or not Tne grarung ol a pertnrt tices not presume lo gne auUronty to•+�����e���^u'� <br /> lbe Drovisron ol nny otnar atale or local law regulaLng ansiruction or tne pertorma�ce ot construIXion Tbal 1 am aulhonze0 Uy the on�er cf ttis p�oDer,y <br /> �o p��pm�p��oM Ip'nhmn aFP��w��o��5 metic an01 comply vnth��e Slate Contratlo�s Law iB 27 RCW ana 2B8 Z00 WAC <br /> 10-03-2011 <br /> OwneLAuttiori:cd A9en1 Signature Da!e (F.tvseA:.:01'1 <br /> � <br /> ' __ <br /> ';�t:�_ �.= - . .. . . ..- �.-�. " ^"'Yr;��'+r"itA. <br /> .,- <br />