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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: 6Z 1 1 O7th St SE PROPERTY TAX# PERMIT# r,y[L[() -() <br /> ` ,2— <br /> LEGAL for new construction: Short PlaUsubdivision Serenity Meadows Lot No. (attach copy of long legal description) <br /> OWNER cornerstone Homes NW LLC Phone/E-maip60-659-9444/jp@cornerstonehomes.com <br /> Address 13805 Smokey Point BLVD STE 101 City/State/Zip Marysville, WA 98271 <br /> APPLICANT: X 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 Same as above iState Lic.# CORNEHN9470A City Bus. Lic.# <br /> Address Phone/Email <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT JP Lampinen <br /> 360-659-9444/jp@cornerstonehomes.com <br /> Phone/E-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK -r�t c)0 L <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building Vehicle Wash Rack Gas Electric Other <br /> Building type: Single Family _Duplex_Townhouse _Multi-Family Commercial <br /> Type of project: X New Addition Remodel Repair T.1. Sin_Sprinkler Demolition Chane of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> Construct vehicle wash rack per, development conditions <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 i 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 /> Woodstove Grease trap <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> Number of Heads Other: <br /> IAhw <br /> ertify that I hav re �thisproperty <br /> pplication and know the same to be true and correct.All provisions of laws and ordinances governing this type of work will be comp <br /> her specified h inof a permit does not presume to give authority to violate or cancel the provision of any other state or local law regulating construction <br /> Tauthorized by t owo perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> / 9/5/2014 I <br /> Owner/ uthori d A ent Signature Date (Revised 9/2014) <br />