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E RMT APPLICAMN <br /> BU ILDING/MEC HANNA PLU MBING/SIGN/SPRIN KLERMEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS: PROPERTY TAX# PE IT �� <br /> 601 Linden St Everett WA 98201 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER Everett Housing Authority Phone/E-mail 425-258-9222 <br /> Address 3107 Colby Ave City/State/Zip Everett, WA 98201 <br /> APPLICANT:—Owner _Owner's Agent XContractor _Contractors Agent _Tenant(mast provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR Andgar Corporation IL& ILi,.# 336, 680-00 COEBus. Lic.# 24869 <br /> Address PO Boox 27008 Salashan Pkwy A102 Phone/Email 360-366-9900 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Dale Van Rooyen 360-366-9900 <br /> Phone/E-mail dalevr@andgar. com <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas X Electric other <br /> Building type: _Single Family _Duplex_Townhouse _Multi-Family _Commercial <br /> Type of project: _New Addition _Remodel Repair_T.I._Sign_Sprinkler Demolition Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> Replace Gas Furnace — less than .100, 000 BTU <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 air systems 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/mo /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 /> I hereby certify that 1 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 complied <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 296.200A WAC. <br /> / 01/19/2015 <br /> r w eY tp ze Ag rt Signature Date (Revised 612012) <br />