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To: E Page 2 of 3 2016-06-10 19:59:48 (GMT) 18884000383 From: Deborah Shields <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> SITE ADDRESS: PROPERTY SE EVERETT MALL WAY pR°pERTYTtixfs28051800400600 I � U <br /> LEGAL for new construction: Short Plat/subdivision _ Lot No. (attach copy of long legal description) <br /> OWNER DAYS INN/KISOP KIM Phone/E-mail206-356-1944 <br /> Address 1602 SE EVERETT MALL WAY CitylState/zip EVERETT <br /> APPLICANT: _Owner _Owner's Agent __Contractor iviContractor's Agent _Tenant(must provide a letter ofconsent from the owner to do work m the space) <br /> CONTRACTOR Washington Energy Svcs Co, LLC IState Lic. #WASHIES851 NS City Bus. Lic.#054773 <br /> Address 3909 196th St SW, Lynnwood, WA 98036 Phone/Email800-398-4663 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> DAYS INN/KISOP KIM Jennifer Covello/jennifer@nwpermit.com 206-774-9499 <br /> Phone/E-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 149.82 211 <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas V I Electric Other <br /> Building type: ❑Single FamilyLj Duple Townhouse i-Family Commercial <br /> Type of project: New Addition Remodel Repair T.I. Si n S rinkler Demolition Chane of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> Replace two gas water heaters <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of ProjectF Ne ddn Iteration Repair Type of Project❑Ne ddr Alteration_Repair <br /> Show Number(#)of fixtures Show Number # of fixtures <br /> A/C—air handling units Toilet <br /> Forced airs stems Bathtub <br /> Gas pipingLavato wash basin <br /> Water heater Shower <br /> Gas fireplace Kitchen sink 8 disposal <br /> i Gas range Dishwasher <br /> Clothes dryer i Clothes washer <br /> Range hood Water heater <br /> Exhaust fan Sink service/bar/mo /etc. <br /> Heat um Backflow preventer <br /> Unit heater ; Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> Ducting i Roof drains <br /> Otheri Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM I Other: <br /> Number of Heads Other: <br /> I hereby certify that I have read and examined this application and know the same to be true and correct.All provisions of laws and ordinances governing this type of work will be comp) <br /> with whether specified herein or not.The granting of a permit does not presume to give authority to violate or cancel the provision of any other state or local law regulating construction <br /> That I a Httlna d py tpfA r of this pfoy rt y to pe�rtofm t�� vor�for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC, <br /> tjl j 1n V'C U <br /> DN —J far Wvnll u e,u. <br /> 5 r' +,, email=]ei nlferl��wpe rc LcoT, US 06/10/2016 <br /> Daic 2016u(35,1012.54 J7109 <br /> Owner/Authorized Agent Signature Date (Revised 9/2014) <br />