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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar SL, Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.ever ttwa.or <br /> t tp V 660 <br /> SITE ADDRESS: 'PROPERTY TAX# PERMIT# <br /> 1523 132nd St.SE, Suite B, Everett, WA 98208 ^^! <br /> Parcel# 28053000406300 <br /> LEGAL for new construction: Short Plat/subdivision Lot No.__ (attach copy of long legal description) <br /> OWNER Anytime Fitness Phone/E-mail 425-516-5210/Brad Smith <br /> Address 4327 153rd Place SE city/statetzip Everett, WA 98208 <br /> APPLICANT:_Owner _Owner's Agent X Contractor _Contractors Agent _Tenant(must provide a letter of consent from the owner to do work in a space <br /> CONTRACTOR Diamond Construction Services LLC State Lic.ii DIAMOCS956J2 City Bus.Lic.# <br /> Address 35420 Military Rd S,Auburn, WA 98001 Phone/Email 253-797-3857/dale-fete@co ast. <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Anytime Fitness Dale Fite/253-797-3857/dale-fite@comcast.net <br /> Phone/E-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK $9,800 <br /> Existing Use of Building Retail HEAT SOURCE: <br /> Proposed Use of Building Retail Gas_ Electric- Other_ <br /> Building type: _Single Family Duplex_I ownhouse _Mufti-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 bac <br /> Maps UA) <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_Addn X 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 /> 2 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 /> 1 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 this type of work wit be comp) <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 '�Y(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 /> i -7‘4.- 1/21716 \ <br /> Owner/Authorized Agent Signature Date (Revised 9!2014) <br /> 1,� <br />