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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: PROPERTY TAX# ER T <br /> 1115 Broadway 29051700204100 U <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> 425-355-0353 <br /> OWNER Williams Investments, LLC Phone/E-mail ran williamsinvest.com <br /> Address 1020 W Casino Road City/State/Zip Everett, WA 98204 <br /> APPLICANT: XXOwner 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 JKW General State Lic.# Jkwgegl92905 City Bus. Lic.# <br /> Address 1020 W Casino Road, Everett, WA 98204 Phone/Email 425-750-7926 ran williamsinvest.com <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT Ryan Kilby <br /> 425-750-7926 <br /> N/A Phone/E-mail ryan@williamsinvest.com <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK $3500.00 <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas Electric Other <br /> Building type: _Single Family _Duplex_Townhouse _Multi-Family _Commercial <br /> Type of project: New Addition Remodel Repair T.1. Sin Sprinkler XXOemolition Chane of Use <br /> DESCRIPTION OF WORK(additional space provided on the back) <br /> Demolition of Everett Motel <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 piping Lavatory 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(inside bldg) <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM 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 perm 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 perfo the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> It-Z--i> <br /> Owner/Autho ize Agenf Signature Date (Revised 4/2015) <br /> rff <br />