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�ERMIT APPLICATIO� <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 /> SITEADDRESS: 91 1 N. BPOaC�Way PROPERTYTAX# P RMIT �� <br /> LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) <br /> OWNER Washington State University Phone/E-mail <br /> Address 14204 Salmon Creek City/State/Zip Vancouver Wa 98686 <br /> APPLICANT:_Owner _Owner's Agent X_COf1tf8ClOf _COIlffBCfOf S A92flt _TBflaflt(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR MCKinstry CO. LLC state�ic.# MCKIN942DW City Bus. Lic.# 049226 <br /> Address 5005 3rd. Ave S. Seattle Wa 98134 Phone/Email <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Washington State University Phone/E-mail Jim Thomas permits@mckinstry.com � <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK S. r !`'''�/�.�v1 <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building_SCh00� _ Gas Electric X Other <br /> Building type: _Single Family _Duplex_Townhouse _Multi-Family _X Commercial <br /> T e of ro'ect: X New Addition Remodel Re air T.I. Si n S rinkler Demolition Chan e of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> Install mechanical fixtures and equipment in new building. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: .X New Addn Alteration Repair Type of Project: _New Addn Alteratio� Repair <br /> Show Number(# of fixtures Show Number(# of fixtures <br /> s i A/C—air handlin units � Toilet <br /> � � Forced air s stems Bathtub <br /> Gas i in ' �� Lavato wash basin <br /> Water heater { Shower <br /> o ; Gas fire lace Kitchen sink&dis osal <br /> o Gas ran e Dishwasher <br /> o Clothes d er Clothes washer <br /> o Ran e hood Water heater <br /> 6 ' Exhaust fan Sink service/bar/mop/etc. <br /> 1 Heat um , Backflow reventer inside bld <br /> ia ! Unit heater Urinal <br /> o Boiler ; Drinkin Fountain <br /> Refri erat[on ( Floor drain <br /> o Woodstove ; Grease tra <br /> GS Ductin i Roof drains <br /> � Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> i Number of Heads � Other: <br /> ��� <br /> � (� /+,r' <br /> Own r/ thoriz A ent Signature Date (Revised 4/2015) <br />