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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 4 PM <br /> SITE ADDRESS: <br /> Way, building D P1t28040100302200 P IT# <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER LBA Realty Fund III Phone/E-maR49-428-7336/bkubichek@lbarealty.con <br /> Address 17901 Von Karmen Ave, Suite 950 City/State/zip Irvine / CA / 92614 <br /> CONTRACTOR MRJ Constructors L&I Lic.# MRJCOL*011CW <br /> Address 1400 Airport Way S . , Seattle WA 98134 Phone/Email 206-462-6279 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT Harold Christensen <br /> B/E Aerospace 206-325-2553/haroldc@lmueller.com <br /> Phone/E-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK $31, 000 . 0 0 <br /> Existing Use of Building Off ice/WH/Manufacturinq HEAT SOURCE: <br /> Proposed Use of Building Office/WH/Manuf . Gas X Electric Other <br /> Building type: _Single Family _Duplex_Townhouse _Multi-Family X Commercial <br /> Type of project: New Addition Remodel Repair X T.I. Sign Sprinkler Demolition Change of Use <br /> Description of Work(additional space provided on the back): i_enj-1 Fs GAS) ` ��� ( - C. <br /> Have you started working without a permit? _YES X NOT YET <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_Addn _Alteration_Repair Type of Project: _New_Addn _Alteration_Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> A/C-air handling units Toilet <br /> Forced air systems Bathtub <br /> Gas piping Lavatory(wash basin) <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes dryer 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 /> 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 /> 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 <br /> this type of work will be complied with whether specified herein or not.The granting of a permit does not presume to give authority to violate or cancel <br /> the provi 'on of any other state or -cal law regulating construction or the performance of construction.That I am authorized by the owner of this property <br /> to pe the work for whi a. •.tion is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC <br /> 8-28-12 <br /> O ner horized A ent , . ure Date (Revised 2/2011, <br /> 2 <br />