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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 /> b -2-�)Z� <br /> SITE ADDRESS: ,y�-�" W Casino Road PROPERTY TAX# PE IT# <br /> Bid 7 , Unit A 1280-414-0020-1600 2- <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER Integrated Reality Phone/E-mail <br /> Address 1015 3rd Ave, Ste 1.00 City/State/zip Seattle, WA 98104 <br /> APPLICANT:—Owner Owner's Agent _Contractor _Contractor's Agent _Tenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR Western States Fire Protection State Lic.# WESTESF136QF City Bus.Lic.# 20553 <br /> Address 14690 NE 95th Street, Redmond, WA 98052 Phone/Email 425. 881 . 0100 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT Ryne Fakkema <br /> Clearwater 360. 672 .5213 <br /> Phone/E-mail ryne. fakkema@wsfp.us <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK $1120 . 00 <br /> Existing Use of Building Warehouse / Office HEAT SOURCE: <br /> Proposed Use of Building Same Gas Electric Other <br /> Building type: _Single Family _Duplex_Townhouse —Multi-Family X Commercial <br /> Type of project: New Addition X Remodel Repair T.1. Sin X Sprinkler Demolition Chane of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> I .WA �,qAg <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_Addn _Alteration_Repair Type of Project: _New_Addn _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 pipingLavatory wash basin <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hood Water heater <br /> Exhaust fan Sink (service/bar/mop/etc.) <br /> Heat pump Backflow preventer <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> I Woodstove Grease trap <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM I Other: <br /> i <br /> 3 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 slate or local law regulating construction <br /> That I am authorized by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> Ryne Fakkema <br /> 13-­1 ;mo12/02/2015 <br /> Owner/Authorized Agent Signature Date I5 (Rev' e /20 4) <br /> S'a � I <br />