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• <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.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS: PROPERTY 120 PRI #O7 _ O i 9 <br /> 830 80TH Street SW, Everett, WA, 98203 280412000 305300 u, <br /> LEGAL for new construction: Short Plat/subdivision See legal Description Lot No. (attach copy of long legal description) <br /> OWNER Covewood Manor LLC Phone/E-mail 425-974-1818 lee@shepere.com <br /> Address 1940 124th Ave. NE, Suite A101 city/state/zip Bellevue, WA 98005 <br /> APPLICANT:_Owner X Owner's Agent _Contractor Contractor's Agent _Tenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR Davis Schueller, Inc. L&I Lic.# DAVISSI105PN COE Bus. Lic.# <br /> Address 20700 44th Ave.W, Lynnwood,WA 98036 Phone/Email 425-775-9400 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> ReNu Medical Harold Christensen-Lance Mueller&Associates <br /> Phone/E-mail 206-325-2553 haroldc@Imueller.com <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK e� <=-z=<=t.- 1'`S <br /> Existing Use of Building Office and Warehouse HEAT SOURCE: <br /> Proposed Use of Building Office and Warehouse 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): <br /> , remove walls to make a rooms larger, add windows <br /> and low wall in warehouse. Work to include new walls, doors and windows. <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 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.uthorized by the owner of is 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 /> 4111 iAle/ 07/13/15 <br /> 0 ner/Authori ed Agent Signature Date (Revised 6/2012) <br />