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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 /> APPLICATION D FROM 8 AM TO 4 PM <br /> SITE ADDRESS: 6200 23rd DR W Everett 98203 • OPERTY TAX# PERMIT# <br /> 'a — Oan <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER Ned Backus DBA Seaway Lot 4A LLC Phone/E-mail <br /> Address 4932 NE 97th Street City/State/Zip Seattle,WA 98115 <br /> APPLICANT:_Owner _Owner's Agent _Contractor _Contractor's Agent X Tenant(must provide a letter of consent from the owner to do work in the space) • <br /> ,P <br /> .522Y" <br /> CONTRACTOR TCI, Inc. L&I Lic.#TCIN**0700 OE Bus. Lic.# <br /> Address 13500 Bel Red Road,Suite#9, Bellevue,WA 98005 Phone/Email 425-454-5310 a <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT Steve Gwinn <br /> Boeing/Teague <br /> Phone/E-mail 206.817.0658/smg@gwinnconsultingllc.com <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Existing Use of Building Conferences and Galleries HEAT SOURCE: <br /> Proposed Use of Building No Change Gas Electric Other x <br /> Building type: _Single Family _Duplex Townhouse Multi-Family X Commercial <br /> Type of project: New Addition X Remodel Repair T.I._Sign Sprinkler Demolition Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> New conference room,office area and secure seating <br /> gallery in existing back of house spaces. <br /> • <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 /> • <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 authorized by the o 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 /> ?moi 9/3 �. <br /> Owner/Au on -• •gent Signature ate (Revised 6/2012) <br />