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vERMIT 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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS: PROPERTY TAX# P RMII-L <br /> f�6600 MERRILL CREEK PKWY #202 28040200301200 VV 2. <br /> LEGAL for new construction: Short Plat/subdivision Lot No (attach copy of long legal description) <br /> OWNER SEAWAY LOT 2C LLC. Phone/E-mail <br /> Address PO BOX 60051 City/state/zip SHORELINE WA 98160 <br /> APPLICANT: Owner Owner's Agent El Contractor Contractor's Agent Tenant(must Provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR MCKinstry Company L& I Lic.# GL l q,7 PL-' COE Bus. Lic.# <br /> Address 5005 3rd Ave S Seattle, WA 98134 Phone/Email 2067762-3311 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> TEAL U E Jim'Thomas <br /> (-5ticvm 6�7�t Phone/E-mail 206-763-4819/jimt�mckinstry.com <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK �� 73 <br /> Existing Use of Building NO CHANGE HEAT SOURCE: <br /> Proposed Use of Building NO CHANGE Gas Electric Other_ <br /> Building type: Single Family Duplex_Townhouse _Multi-Family -Z 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 /> RELOCATING 1 PENDANT FIRE SPRINKLER HEAD IN AN EXISTINC-C=-WITH CEILING <br /> GRID, TO A NEW HARDLID INSIDE SAME SPACE. tZ45StiZCtW� <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/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 /> / I Number of Heads 1 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 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 authoriz by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 15.27 RCW and 296.200A WAC. <br /> y� 6/05/2014 <br /> 0 ner/Authorized Agent Signature Date (Revised 6/2012) <br />