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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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO d PM <br /> SITE ADDRESS: PROPERTY TAX# i wtT,# <br /> 3300 Chestnut Street, Everett, WA 98201 ��/� <br /> .�,� C) —1� -,+ <br /> LEGAL for new construction. Short Platlsubdivision Lot No (attach copy of long legal description) <br /> OWNER Newland Construction Co., Inc. Phone/E-mail 425-259-9191 <br /> Address 3300 Chestnut Street City/State/Zip Everett, WA 98201 <br /> APPLICANT: Owner _Owner's Agent _K Contractor _Contractor's Agent _._Tenant t.,,nust provide a lever of consent from the owner to ao a rk�n the spaue; <br /> CONTRACTOR D.K. Systems, Inc. - DKSYSI*982L1 IL&I Lic.# 030,428-00 COE Bus. Lie.#049744 <br /> Address PO Box 886, Burlington, WA 98233 Phone/Email 360-755-1555 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT Kevin Korthuis 360-770-7981 <br /> Newland Construction Phone/E-mail kevin@dksystemsinc.com <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 10,000. <br /> Existing Use of Building Business Office HEAT SOURCE <br /> Proposed Use of Building Business Office Gas Electric Other <br /> Building type: _Single Family ^Duplex_Townhouse —Multi-Family X Commercial <br /> Type of project New Addition Remodel Repair_L T.I. Sin Sprinkler_Demolition_Chan e of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> Install (2) New"Like for Like"Heat Pump Split Systems <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_Adds X Alteration_Repair Type of Project: _New_Adds 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 pipin <br /> Lavatory(wash basin) <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes d er 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 enation Floor drain <br /> Woodstove Grease trap <br /> Ducting Roof drains <br /> Other l 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 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 for which application is made and I comply with the State Contractors Law 16.27 RCtN and 296.200A IPJAC. <br /> r <br /> /7—y 10120/2016 <br /> 0ut o ized nt Si nature Date (Revised 6!2012) <br />