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PERMIT APPLICATION <br /> BUILDING/M ECHANICALIPLUMBING/SIG N/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# <br /> 6600 Merrill Creek Pkwy. Bldg. 200, Ste 202 28040200301200 P MI w <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 P.O. Box 60051 City/State/Zip Shoreline WA 98160 <br /> APPLICANT: Owner X_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 TCI L&I Lic.# COE Bus. Lic.# <br /> Address 13500 Bel-Red Road, Ste. 106 Phone/Entail 425-221-3121 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Teague Phone/E-mail Becky Dail/ beckyd@jpcarchitects <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK , <br /> Existing Use of Building Commercial/Factory HEAT SOURCE: <br /> Proposed Use of Building Commercial/Factory Gas Electric Other <br /> Building type: _Single Family _Duplex_Townhouse —Multi-Family X-Commercial <br /> Type of project: New Addition X Remodel _Repair_T.I. Sign_Sprinkler_Demolition Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> Non-structural Tenantimprovement including partial demolition of partition walls, plumbing and <br /> light fixtures. New work includes, new partition walls, counter top, plumbing adn light fixtures <br /> and toilet partitions. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_Addn _Alteration_Repair Type of Project: _.New_Adds _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 /> Refritcleration Floor drain <br /> Woodstove Grease trap <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> I Number of Heads Other: <br /> 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 t.)dive 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 fur which application is made and I comply with the State Contractors Law 18.27 RCW and 296200A WAC. <br /> Z�Qw _A;0 �?J <br /> I 114 <br /> Owner/Authorize A Fit Si nature ate T (Revised 6/2012) <br /> y 2— <br />