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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 /> SITE ADDRESS: PROPERTY TAX# P RMIT# <br /> 5901 23rd Dr. W, Everett, WA 98203 01118500000400 J 112OR-U <br /> LEGAL for new construction: Short Plat/subdivision See attached Lot No. (attach copy of long legal description) <br /> OWNER Seaway Corporate Lot 3C Phone/E-mail 206-310-5239/ned.backus@gmail.com <br /> Address 4932 N.E. 97th City/State/Zip Seattle, WA, 98115 <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 Meridian Builders Inc. State Lic.#MERIDB1920NK City Bus.Lic.#1r2C51 � <br /> Address 2240 N. Pacific St., Seattle, WA, 98103 Phone/Email206-686-4880 bob@merianbi.coln <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT Harold Christensen <br /> Bridgeways 55hdlme Architects <br /> Phone/E-mail206-325-23/ arolclulecom <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK $49,876.00 <br /> Existing Use of Building Office/Warehouse HEAT SOURCE: <br /> Proposed Use of Building Office/Warehouse/Manufacturing 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): Space is expansion space for Bridgeways. Light <br /> assembly of electrical components for the Aerospace industry. Bridgeways provides opportunities <br /> for people with mental illness to work and be independent. New lunch room, restroom and <br /> compressor room to be added. Wall insulation for better comfort. <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(inside bldg) <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 comp) <br /> with whether specified herein or not.The gr..ting 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 owne this.rop rty to perfor the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> i <br /> •wner/Authorized A'ent Signature Date (Revised 4/2015) <br />