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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: 1290 Ot e 1-Everett 1 PROPERTY TAX ti PE MIT# _ <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER Fred Meyer- Starbucks Phone/E-mail <br /> Address City/State/Zip <br /> APPLICANT:_Owner _Owner's Agent X Contractor —Contractor's Agent _Tenant(must provide aletter or consent from the owner to do H rk in the space) <br /> CONTRACTOR Portland Mechanical Contractor State Lic.# 151807 City Bus. Lic.# <br /> Address 2000 SE Hanna Harvester Drive Phone/Email 503-479-3165 cmurray@pmc-g,com <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Starbucks Phone/E-mail 503-479-3165 cmurray@pmc-g.com <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK $18,762.00 <br /> Existing Use of Building Grocery Store HEAT SOURCE: <br /> Proposed Use of Building Coffee Shop inside Grocery Store Gas Electric Other <br /> Bullding type: _Single Family _Duplex_Townhouse —Multi-Family X Commercial <br /> Type ofproject: New Addition Remodel _Repair X T.I. Sin —Sprinkler Demolition Chane of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> Installation and plumbing for 2 sinks and an ice machine <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New—Adds _Alteration_Repair Type of Project: _New x 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 2 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 I SUPPRESSION SYSTEM 1 other: Ice Machine <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 s herein or n .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 or ze a ow r f this grope to perform the work for which application is made and I comply with the Stale Contractors Law 18.27 RCW and 296.200A WAC. <br /> nor/Authorized Agent Signature Date (Revised 4/2015) <br />