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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 /> SITE ADDRESS:2525 West Casino Rd F <br /> ROPERTY TAX#28041400201700PEj2jNI1 t--) <br /> I-�-' i <br /> LEGAL for new construction: Short Plat/subdivision _,- Lot No. (attach copy of long legal description) <br /> OWNER Washington Capital Phone/E-mail <br /> Address 1301 5th Ave Suite 3636 City/State/Zip SEATTLE, WA 98101 <br /> APPLICANT:L-iOwner Owner's Agent ✓Contractor Contractor's Agent Tenant(must provide a letter of consent from the owner to do work in the spat oI <br /> CONTRACTOR Hermanson Company IState Lic.# hermac1005bj city Bus. Lic.# 037262 <br /> Address 1221 2nd Ave N Kent, WA 98032 Phone/Email 206-575-9700 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Paine Field Business Park Scott Rinabarger <br /> Phone/E-mail 2067436214/srinabarger@hermanson.cC; <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK - - Z <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building Cas Electric7-71 L2 <br /> Other <br /> Building type: DSingle Family 0_Du(pllexQTownhouse D Multi-Family ✓ commercial <br /> T e of ro'ect: New Addition t_1 Remodel Re air ✓ T.I. Sin S rinkler Demolition Chan e of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> Add (3) supply ducts, (2) Return ducts, and relocate (1) return duct. Add (1) 100 CFM exhaust fan. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project:UNewLjAddn ✓ Alteration epair Type of Project: ✓New Addn Alteration Repair <br /> Show Number # of fixtures Show Number # of fixtures <br /> i A/C—air handling units Toilet <br /> 1 Forced airs stems l Bathtub <br /> Gas piping Lavatory wash basin <br /> Water heater I Shower <br /> I Gas fireplace i Kitchen sink&disposal <br /> i Gas range ( Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hood 1 Water heater <br /> Exhaust fan Sink service/bar/mo /etc. <br /> i Heat um I Backflow reventer <br /> I Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration 1 Floor drain <br /> i Woodstove Grease trap <br /> ? <br /> Ducting i Roof drains <br /> j Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> I Number of Heads Other: <br /> 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 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 298.200A WAC. <br /> Owner/Authorized Agent Signature Date �1 � 12't c I (Revised 9/2014) v <br />