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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 Co -- I{ —(ck <br /> SITE ADDRESS:3003 West Casino Road f1"�V-_`��4 8OP[RTY TAX+f 28041000100200 PE}�n�l1#4 Q� OL)52 <br /> LEGAL for new construction Short Plat/subdivision NA 't Lot No NA (atlacn copy cf long legal description)/ <br /> OWNER Boeing Phone/E-mail 4252372121 <br /> Address3003 West Casino Rd. Everett, WA 98204 city/state/zip Everett, WA 98201 <br /> CONTRACTOR Hermanson Company L&I Lic.#37262 <br /> Address 1221 2nd Ave N Kent, WA 98032 Phone/Email2533101932, bfox@hermanson.com <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Boeing Company Phone/E-mail Brooke Fox <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK S1 500 <br /> Existing Use cf Building Commercial HEAT SOURCE <br /> Proposed Use of Building CommercialA Gas Elec.�o Other_ <br /> Building type: _Single Fmily Duplex_Townhouse Multi-Family Commercial <br /> Type of project: _New Addition _Remodel _Repair T.I.— ign_Sprinkler Demolition Change of Use <br /> Description of Work(additional space provided on the back) Relocate(4)diffusers in conference room <br /> Have you started working without a permit? YES x NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: Nowa Addn Alteration Repair Type of Project: New Addn _Alteration_Repair <br /> Show Number(it)of fixtures Show Number(#)of fixtures <br /> A/C–air handling units I Toilet <br /> Forced air systems Bathtub <br /> Gas piping Lavatory(wash basin) <br /> Water heater I Shower <br /> Gas fireplace I 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 /> il Other Diffusers 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 o•dinances governing <br /> this type of work will be complied with whether specifed herein or not The granting of a permit does not presume to give authority to violate or cancel <br /> the pro ..ion of any other state or local lai. regulating construction or the performance of construction That I am authorized by the owner of this property <br /> to.. o the work for.vn e(ication made and I comply with the State Contractors Law 18 27 RCW and 296 200 WAC <br /> ;-!--/ , ItV_ 610,231,1 <br /> •.. er/Authorized Ac out Signatu Date (Revised 2/2011) <br />