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Apr 11 16 08:18a p.2 <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIG NIS PRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-25743810 FAX 425-257-8857 www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS: PROPERTY TAX# PER IT# O <br /> 3501 Colby Ave,Suite 103 07063800010100 <br /> LEGAL for new construction: Shorl Plat/subdivision Lot No-_ (attach copy of long legal description) <br /> OWNER BANK OF NEW YORK MELLON TRUST CO Phone/E-mail <br /> Address 5221 N OCON NOR BLVD STE 600 CityrState/Zip IRVING,TX 75039 <br /> APPLICANT:_Owner —Owners Agent X Contractor —Con trac I or's Agent _Tenant(must provide a letter a rcansenl Win,the cwner to do work in the specs) <br /> CONTRACTOR State Mechanical L 8r I Lic.# STATEMC141C7 COE Bus. Lic.#030329 <br /> Address 8706 S 222nd ST Kent,WA 9803.1 PhonelEmail 206-575-7527 steveC@statemech.net <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Phone/E-mail 206-575-7527 steveC@staternech.net <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK_ $10,980.00 <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas Electric_ Other <br /> Building type: _Single Family _Duplex—Townhouse _Multi-Family _Commercial <br /> Type of project: _New _Addition _Remodel _Repair X T.I. Sign_Sprinkler�DemolitionChange of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> To plumb and install: 2 Water closets, 2 Lav's, 1 Sinks, 1 Dishwasher& 1 Hot water tanks <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: —New_Addn _Alteration Repair Type of Project: —New X 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 pipingLavatory(wash basin) <br /> Water heater Shower <br /> Gas fireplace 1 Kitchen sink&disposal <br /> Gas range 1 Dishwasher <br /> Clothes dryer I Clothes washer <br /> Range hood 1 Water heater <br /> Exhaust fan Sink(service/bar/mop/etc.) <br /> Heat pump { Backflow preventer <br /> Unit heater Urinal <br /> BoilerDrinking 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.AD provisions of laws and ordinances governing this type of work will be complied <br /> with whather 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 eonsiruction <br /> That I am aulhorized by the owner of this property to perform the work for which application is in ado and I comply with the State Canlractors Law 18.27 RCW and 296.200A WAC. <br /> CAAM24 4/11116 <br /> OwncrlAuthorized Agent Signature Date (Revised 612012) <br />