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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 vwwv.everettwa.org <br /> SITE ADDRESS: PROPERTY TAX# PERMIT# <br /> 824 W Casino Rd,Everett,WA 98204 00392100000700 J l�O t� — <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CASINO-WESTMONT AFFORDABLE HOUSING <br /> OWNERCoreyPhone/E-mail 425 454-8205 ext.238/Core B shelterresourcesinc.com <br /> Address 2223 112th Avenue NE,Suite 102, City/State/Zip Bellevue, WA 98004 <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 NW Wholesale Signs State Lic.# CC NWWHOS`929M9 City Bus. Lic.# 053987 <br /> Address 28400 NE 120th St., Duvall WA 98019 1 Phone/Email 425-844-6415/Jerry(@NWSiqns.com <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Jerry Austin <br /> Avaire Apartment Homes Phone/E-mail 425-844-6415/Jerry(@_NWSigns.com <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK $9 300 <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 ro'ect: New Addition Remodel Repair T.1. Sin Sprinkler Demolition Chane of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> Double sided monument sign. <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 /> 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 /> 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 this type of work will be comp <br /> with whether s fied 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 a a orized by the o ner 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 /> � �����► <br /> O er/Autho . e AgWnt Signa ure Date (Revised 9/2014) <br />