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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 /> PPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS: STM,I� F��%erP�+ TY TAX# W <br /> 12728 Bcith - , Everett, WA 98208 PROPER6(Z- <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> ut <br /> OWNER Ma emura Optical Phone/E-mail <br /> Address 12728 Bothell-Everett Highway City/State/Zip Everett, WA 98208 <br /> APPLICANT:_Owner _Owner's Agent X Contractor Contractor's Agent Tenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR D.K. Systems, Inc. - DKSYSI*982L1 TL&I LIC.# 030,428-00 COE Bus. Lic.#049744 <br /> Address PO Box 886, Burlington, WA 98233 Phone/Email 360-755-1555 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT Darron Drake 360-770-0950 <br /> Mayemura Optical Phone/E-mail darron@dksystemsinc.com <br /> BUIILDING PERMIT APPLICATION CONTRACT PRICE OF WORK $ 17,500 <br /> Existing Use of Building Eye / Optical Center HEAT SOURCE: <br /> Proposed Use of Building Eye / Optical Center Gas Electric Other_ <br /> Building type: _Single Family _Duplex_Townhouse —Multi-Family X Commercial <br /> Type of project: _New _Addition Remodel Repair X T.I._Sign_Sprinkler Demolition _Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> Install (1) New 3 Ton Heat Pump with 10kw of electric heat/3 phase outdoor unit/Single phase indoor unit. <br /> Install (1)# 1/2 Ton Air Handler& (1) Exhaust Fan <br /> Reuse existing outside air louver/duct run, existing refrigerant lines and existing HVAC unit main trunk ducting. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_Addn X 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 /> Forced airs stems 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 /> Refri eration 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 goveming this type of work will be complied <br /> with whether 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 construction <br /> That I am authorized by the owner of this property to perform the work forwhich application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> �✓ 08/22/2016 <br /> Over/Authorized Agent Signature Date (Revised 6/2012) <br />