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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 LA I "-/q1 <br /> SITE ADDRESS: <br /> 3003 West Casino RoadPROPERTY TAX# PERMIT# <br /> LEGAL toi new construction. Short Plat/subdivision ( f _Lot No (attach copy of long egal description) <br /> OWNER Boeing Phone/E-mail 425-237-2121 <br /> Address 3003 West Casino Road City/State/zip Everett, WA 98204 <br /> CONTRACTOR Schuchart Corporation L & I Lic.# <br /> A,lcirr.n';3003 West Casino Road Everett, WA 98204 Pi,n;,e„t/ma,1425-237-2121 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Boeing PLo,ne,E_n,ail 206-707-1821 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 5.85°00 <br /> Existing Use of Building eir ( 2 HEAT SOURCE: <br /> Proposed Use of Building (i'J )7(,Q GasElectric Other <br /> Building type: _Single Family _Duplex_Townhouse _Multi-Family Commercial <br /> Type of project: New x Addition _Remodel _Repair_T.I. Sign_Sprinkler Demolition Change of Use <br /> Description of Work(additional space provided on the back) One (1) VAV box and one (1) Grill <br /> Have you started working without a permit? YES X NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New K Addn _Alteration_Repair Type of Project: _New Addn _Alteration_Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> PJC—air handling units Toilet <br /> Forced air systems Bathtub <br /> Gas piping I Lavatory(wash basin) <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas ranee 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 /> _ Vl4 Vj 1S Root drains <br /> Other iii-I j j 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 com.lied with wh or specified herein or not.The granting of a permit does not presume to give authority to violate or cancel <br /> the prove of any other. •e or local Lw regulating construction or the performance of construction That I am authorized by the owner of this property <br /> to peri the.work f r wY epplicatr• e made and I comply with the State Contractors Law 18.27 RCW and 296 200 WAC <br /> OWer thorized •gent 5 gnaw re I6)Dat of (iA� (Revised 2/2011) <br /> krkti <br /> r <br /> 'r Wl!) -C -?G-7 iP- <br />