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• • <br /> 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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ( a I 1 /3 <br /> SITE ADDRESS: PROPERTY TAX# PERMIT# <br /> 3003 West Casino Road 40-88 ,v%;f-(� , ^r ;: r� + 7 <br /> LEGAL for new construction Short Plat/subdivision - Lot No (attach copy of long legal description) <br /> owNERThe Boeing Company Phone/E-mail 206.963.5097 Klarson@hermanson.com <br /> Address 3003 West Casino Road 40-88 city/state/zip Everett, WA 98204 <br /> CONTRACTOR Hermanson Company L& I Lic. # <br /> Address 1221 2nd Ave North Kent, WA 98032 Phone/Emai1206.963.5097 Klarson@hermanson.com <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Boeing Klarson@hermanson.com 206.963.5097 <br /> Phone/E-mail <br /> BUILDING PERMIT APPLICATION <br /> .Phone/E-mail <br /> PRICE OF WORK .f.- ;CI 77 • <br /> Existing Use of Building Commercial HEAT SOURCE. <br /> Proposed Use of Building Commercial Gas Electric Other <br /> Building type: Single Family Duplex Townhouse Multi-Family Commercial <br /> Type of project: New Addition Remodel RepairA T.I. Sign Sprinkler Demolition Change of Use <br /> Description of Work(additional space provided on the back): Pauic to clock f4 ' Oyi (')3 -to Vl {rIPA 'parry <br /> to Ain Q"-iV line <br /> cndell5tr‘l u 'it (Dn roof <br /> Have you started working without a permit? YES X NO <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 /> I 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 /> 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 <br /> this type of work will be complied with whether specified herein or not.The granting of a permit does not presume to give authority to violate or cancel <br /> the provision of any other state or local law regulating construction or the performance of construction That I am authorized by the owner of this property <br /> to perform <br /> ��pl�is made and I comply with the State Contractors Law 18 27 RCW and 296 200 WAC <br /> Owner/Authorized Agent Signature Date (Revised 2/2011) <br />