Laserfiche WebLink
! 0 <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBI NG/SIG N/S PRI NKLER/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 4 PM <br /> SITE ADDRESS: PROPERTY TAX# "Vol <br /> 630136th Ave W 2883812 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER H D I LANDING GEAR USA INC Phone/E-mail <br /> Address 15900 FOLTZ INDUSTRIAL PKWY City/State/zip STRONGSVILLE, OH 44149 <br /> APPLICANT:_Owner Owner's Agent X Contractor —Contractor's Agent _Tenant(must Provide a letter of consent from the owner to do work a sp e) <br /> CONTRACTOR State Mechanical L&I Lic.# STATEMC141C7 COE Bus."30329 <br /> 030329 <br /> Address 8706 S 222nd ST Kent,WA 98031 Phone/Email 206-575-7527 stevec@statem et <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Byram Healthcare T.I. ---) <br /> Phone/E-mail206-575-752stevec@ state mech.net <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <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. Sin Sprinkler Demolition Chane of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> To plumb and install:2 Water closets, 2 Lav's, 1 Sink& 1 Hot water tank <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_Addn _Alteration_Repair Type of Project: _New_Addn X Alteration_Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> A/C–air handling units 2 Toilet <br /> Forced airs stems Bathtub <br /> Gas piping 2 Lavatory(wash basin) <br /> Water heater Shower <br /> Gas fireplace 1 Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hood I Water heater <br /> Exhaust fan Sink (service/bar/mop/etc.) <br /> Heat pump Backflow preventer <br /> Unit heater Urinal <br /> Boiler <br /> Drinking <br /> 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 /> 1 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 18.27 RCW and 296.200A WAC. <br /> CAMR44 2/15/17 <br /> Owner/Authorized Agent Signature Date (Revised 6/2012) <br />