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PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBING/SIGN/SPRINKLERS/9EMM, TION V <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 w w: erel�/v a org�� �Qi�s <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM /Q —;-9 —ly <br />SITE ADDRESS: 6308 Evergreen Way <br />PR98VWft%0000500 <br />1 Ef"Uh"(D-OI <br />LEGAL for new construction. Short Platisubdivrsion Lot No._ (attach copy of long legal description) <br />OWNER Evergreen Play LLC <br />PhonelE mail <br />Address 5603 filth Ave NE <br />Cdy/Stale/Zip Seattle, WA 93105 <br />APPLICANT: Owner _Owner's Agenl X Contractor Conbaclor's Agent Tenant(must provide a tcan iii'vim tea owner to do von, in toe vacd <br />CONTRACTOR TubeArt <br />L s I Lie. a TUBEAD* 311QS COE Bus. Lic. a 006667 <br />Address 11715 SE 5th ST Bellevue, WA 98005 PhonelEmall 206 264 2954 <br />TENANT BUSINESS NAME <br />O'Reilly Auto <br />CONTACT FOR PERMIT <br />Shawn 206 264 2954 <br />Phonel&rnad shawnb@tubeart.com <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK 4500.00 <br />Existing Use of Building retail 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 _ T.I. -1 Sign _ _Sprinkler _Demolition__ Change of Use <br />DESCRIPTION OFWORK (additional space provided onthe back) : remove damaged 7' x 15' reader board an <br />replace with a new 41x8' reader board <br />*­1­yvC,k- friqviiii4ii IXAL h(lon'. <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number (p) or fixtures <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number (0) of fixtures <br />NC - air handling units <br />Toilet <br />Forced air systems <br />Bathtub <br />Gas piping <br />Lavatory (wash basin) <br />Water healer <br />Shower <br />Gas fireplace <br />Kitchen sink 8 disposal <br />Gas range <br />Dishwasher <br />Clothes dryer <br />Clothes washer <br />Range hood <br />Water healer <br />Exhaust fan <br />Sink (service/barlmoolelc.) <br />Heat pump <br />Backflow preventer <br />Unit heater <br />Urinal <br />Boiler <br />Drinking Fountain <br />Refrigeration <br />Floor drain <br />Woodslove <br />Grease trap <br />Ducting <br />Roof drains <br />Other <br />Medical Gas <br />SPRINKLER I SUPPRESSION SYSTEM <br />Other: <br />Number of Heads <br />Other: <br />I hereby ceniy that I have read and examined this applcalon and know the samo to be true and conect. All provisions of laws and ordinances governing this type of work wiA be corn pied <br />wM whothar specified herein or not. The granting of a permit does not presume logwe aulhorey to v*lato or cancel the provision of any other stale or local Law regulating construction <br />That tam aulhonzed by the owner of this property to perform the work for which application is made and I comply <br />lomlwith the Slate Conbacats Law 18 2/ RCW and 296.200A W AC. <br />Ow rlAulhpri tl Ag nl Sigr urc • Date <br />a e / • (Revised t1r2012) <br />