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PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St , Everett.WA 98201 -425-257-8810-FAX 425-257-8857-Www everettwa.crg <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM / c>- 3 r11 <br /> SITE ADDRESS: 11 S PROPERTY TAX 4 28041200300300 PBBIIIT4 11 0 - r <br /> ww <br /> EVEm;m. WA 98203 �y�. <br /> LEGAL for,"conatruCion she,p:aLsvatmeion_ SEC 12 TWP 28 Lot No attach copy of long legal descoptienl <br /> OWNER AT&T MOBILITY&AFFILIATES PhonG4°•mad (206)768-4200 steve.hargmve@macmm <br /> iller.co <br /> Aaacss <br /> PO BOX 66786 cuyrstaitzp ST LOUIS.MO 63166 <br /> CONTRACTOR MACDONALD MILLER L&I Lic 4 MACDOFS980RU 12-31.12 <br /> Aodreaa 7717 DETROIT AVE SW SEATTLE,WA 98106 Pnonc Emon <br /> (206)768-4278 darla doll@macmiller.com <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT DARLA DOLL <br /> AT&T-PINEHURST PhonaE-ma, (206)768-4278darla.doll@macmiller.com <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK $ 13,600.00 <br /> HEAT SOURCE <br /> Existing Use of Building CELL SITE TOWER <br /> Proposed Use of Building NO CHANGE Gas Electric X Other <br /> Budding type _Single Family _Duplex_Townhouse _Muti-ramity, _L Commercial <br /> Type of protect _New _Addition _Remodel _Repair X T I._Sign_Sprinkle(_Demolltion_Change of Use <br /> Descfiption of Work adddional spam Provided M Its DacF)' <br /> REPLACE(2)EXISTING WALL MOUNTED AC UNITS WITH(2)NEW WLL MOUNTED AC UNITS FOR TELECOMM <br /> ROOM-'LIKE-FOR-LIKE"CHANGE OUT <br /> Have you started working without a Permll7 _YES _X_NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> type of Protect. _New._Addn 2LAtteratlon_Rspalr Type of Pro)ectShow N—A do o!fl Alteration_Repair <br /> Show Number 1q of Rabrna Talet <br /> A/C-air handlin units Balhtu0 <br /> Forced ai s stems Lavatory wash hash <br /> L. <br /> Gas pin Shower <br /> Water heater Kitchen sink Is ars sal <br /> Gas Chi Dishwasher <br /> Gas ran e <br /> her <br /> Clothed •er Waters wee <br /> Ran a hood Water heater <br /> Vlc <br /> Sink(sere/ear/n10 /Gl <br /> EYhausl fan c <br /> .) <br /> Baddlow preventer <br /> Heat to D Urinal <br /> Unit heater Drinkm Fountsm <br /> Boder Floor drain <br /> Refrigeration Grease lisp <br /> Wootlstove <br /> Root drains <br /> Ductin <br /> Medical Gas <br /> Other <br /> SPRINKLER/ SUPPRESSION SYSTEM Omer <br /> Number of Heads Other <br /> 1 hemCy Lentry that t ha,,e read am examined this Berri and know the same to be Irve a'd ednein All pmvisoM of laws and Ohl"reas go✓emmg <br /> this type of Weft will be compiled win Whether sDectfivd"Gran a not The panting or a permit does rot Presume to glue aulhonty to violate Of cental <br /> the pmvrton or any other state or local law regulating constWIxen or the pedermancw of conalrucoen That I am authorized by the caner of this Property <br /> to Miami the Work for Wmat applicatial-s made and I comply with the State Contracini l Law 16 27 RCW and 29e 200 WAC <br /> 10-03-2011 <br /> OwnerlAuthonaad Agent Signature <br /> Date fRenaed7!!ol f) <br />