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Fr OfYl:F-t cfr iter at lc,n Un lira it/.7_-,I 21,34744-0.39 04/12/2016 07:78 4477 F'.001/002 <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 www.everettwa.arg <br /> SITE ADDRESS:4128 Rucker Ave Everett 98201 PROPERTYTAXa PERMITS <br /> �� li 'l'Did-'u- 1 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER Safeway Inc CPTS Phone/E-mail <br /> Address 1371 Oakland Blvd Suite 200 city/state/Zip Walnut Creek CA 94565 <br /> APPLICANT; Owner —Owner's Agent 1✓IGontractor Contractors Agent i Tenant tmue prowwe Y weer of con..nt Com Cr Coo.,fa do work.,a..apace) <br /> CONTRACTOR Refrigeration Unlimited Inc State Lic.#REFRIU 1011 KS City Bus.Lic.# 052183 <br /> Address 6102 N. 9th St., Suite 100 Tacoma, WA 98406 Ph.„./Ema6emanners©ru-inc.com <br /> 'TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Safeway Stores 1484PhoneErin Manners/253-474-3100 emanners@ru-inc.com <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK \ \0'(t r',. • <br /> Existing Use of Building Groomly Store HEAT SOURCE: <br /> Proposed Use of Building Same-Grocery Store Gas Electric Other <br /> Building type: Single Family Duplex_Townhouse Multi-Family L• rornmerciai <br /> Type of project New _Addition Remodel Repair ✓I T.I. Sign Sprinkler Demolition Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the beck): <br /> Add (2) evaporator coils to Fruit Prep room and tie into existing refrigeration rack. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _Naw_Adds ✓ ration_Repair Type of Project: New Addn -,!Alteration Repair <br /> Show Number(I)of fixtures Show Number(Itt)of fixtures <br /> NC—air handling units Toilet <br /> Forced air systems Bathtub <br /> Gas piping Lavatory(wash basin) <br /> I Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hood Water healer <br /> Exhaust fan Sink(service/bar/mop/etc.) <br /> Heat pump Backflow preventer <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> 2 Refrigeration Floor drain <br /> IWoodstove Grease trap <br /> Ducting Roof drains <br /> Other j Medical Gas <br /> t <br /> SPRINKLER/ SUPPRESSION SYSTEM Other: <br /> Number of Heads Other <br /> I hereby certify that I have read a.•.examl .•this application and know the same to be true and correct.At provisions of laws and ordinances governing this type of work will be comp <br /> with whether specified herein.r not.The gran g of a permit does not presume to give authority to violate or cancel the provision of any other state or local taw regulating construction <br /> Thal Thal l ed by the o er of this p..:ny to perform the work for which application is made and I comply with the State Contractors Lew 18.27 RCW end 296.200A WAC. <br /> --J------J iiiiiiiiiiiiiprIllw <br /> (__/77. 7 /.. <br /> `/• .•Agent�g tune Date <br /> _ (Rcwiaed 9/2014) <br />