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PERMIT �PPLlCATICaN <br /> BUI�.QI(�G�NlECHANICAUPLU11118�N�lS#t�NiSPRiNKLER/DEMOLITl�N <br /> �CITY QF EVERETT PERMlT SERV�CES <br /> . 32fl0 Cedar St., Everett,WA 98201 425-257-881 p FAX 425-257-8857 www.everetfvva:�r� <br /> APPLICATIONS ARE ACCEPTED F#2CJNl 8 AM TO d PM <br /> SITE ADDRESS: PRtiPEIiTY TA7C itooaasaooio�z5oi, 00442900102503, P RMiT�F � <br /> IOIq II2th St SW 00442q00102504, 00442900102505 � <br /> LEGAL for new construction: Shor#PlaUsubCivisior�_ Lot No._�_ (a�iach copy of bszg legai description? <br /> owt�e�z Communit �leaith Center of Sno CO PRonelE-snail 425-78q-3700 <br /> aaa�s� 860q Evergreen Way city�s�t�iz�� Everett WA q8208 <br /> APPLiCANT:._._Ou�mer �Owne�'s Agent __Contractor ^_C.oMractor's Agent �Tenant;must proW6e a tez?er oi ccneeM hom tde owr,er k 3e;�s�k'ir 4he scr.t; <br /> cor�rttn+crortAldrich + Associates Inc. Dan Gra �.$��uc.#AL-DR-IA�202RU co�eus_�c;�03q375 <br /> �w�ress810 240th St SE, Bothell, WA q8021 �,�n����3-�313 dgrayC�aldrich-assoc.com <br /> TENANT BUSINESS NAME Ct)IdTACT FOtt PERMIT <br /> Community �lealth Center of 5no Co Franklin Ng <br /> Pt,o�-mai� 4�5-823-2244 Franklin@awerks.com <br /> BWLDING P�RMIT APPLICATION co�nr�nncr Parc�o�wo�c �250,D00�____ <br /> Existing Use af Buiiding rled iCCll Of f iCe ____ _ HEAT SflURCE: <br /> �ro�osed use ot suitd�ny rled ical_Of f ice �__ ___ �S ��� �.,� <br /> Buiidirig type: ___Sit�gle Famil�r ___.Dupiex___Townhouse ___Muf#i-Famity X GommarC.ai <br /> T of ra ect: ___tdew ___Addifion ___Remodel �_Re ir�T,i._�Si n__5 drnc�r___Demon#ian__Cisan�e o"s'.;ss F <br /> dESCRIPTt�N t}F WClRK(additianat space provided on the back): <br /> THE PROJECT CON515T5 OF RENOVATIONS AND ALTERATIONS TD AN EXISTING DENTAL GUNIC. NO EXTERIOR WORK TO BE DONE AT TNIS TIME. INTERIOR <br /> RENOVATIONS TO IMCLUDE PARTITIONS, NEW CEILING, LIGNTING, PLUMBING, AND ELEGTRIGAL ROUGH IN FOR EOUIPMENT, GARPET, SNEET VINYL FLOORING, <br /> AND NEW CASEWORK. MODIFY NVAC, FIRE-LIFE SAFETY, AND FIRE SUPPRESSION SYSTEMS A5 REQUIRED PER NEW ROOM CONFIUURATIONS. <br /> �+ELECTRIGAL, MEGNANICAL, PLUMBING, FIRE-LIFE SAFETY AND FIRE SUPPRESSION SYSTEMS 70 6E BIDDER DESIGNED. <br /> MECHANICAL PERMIT APPLICATION PLUMBINC PERMIT APPLICATtON <br /> Type of projeci: �New�Addn � Alteration__,Repair Typ+e ofi Proje�t: �1Vew,�.,._Addn �Alteratian__Rerair <br /> 5how Nunri�er ol Nxtures Show Nermber of tikteues <br /> NC—air handlin units g Taiiet <br /> Forced air s stems i Bath,ub <br /> Gas pipin9 La�a+or vvash basin) <br /> Water heater S}��y,� <br /> Gas firepiace Kitche.�sink 8�oispnsat <br /> Gas ra e pisnwasher <br /> J Cbthes d er ! C���}� <br /> Fta lwod � V'Jater heater <br /> Exhac�t fan S�nk serv?ce/t�Ymo �etc' <br /> ( tieat pump 8ackftow .sver•.t� <br /> lll3it hP,2t@T �InRa� <br /> g���r drink'sng Fo�n`.ain <br /> Refri era#ion Fioar ciraln <br /> Vlioocts#csve �re2se trap <br /> Ducti i Roaf rirairrs <br /> �fher_____.�_�----- j Me��cai Gas <br /> SPRtI+I1+CLER/SUPPRESSI�N SYSTENI r pti►er, <br /> Number of Heads {yf}+er ! <br /> I hereby�eRity that I have read and enamirterl this application and krww the same to be Vue and carcect.R'.i orovtsions ot iaws and oYd;nances gevern�ng tnis tyfse:9�+c+n�v+�ll:,e em+'�Ee� <br /> willi wheihar specSfied herein or� grantin of a permit does not presume to give auihority ia violate ar car,cei?hs�rovEsf¢rt�f any ottrer ste!e c►�Ocs!3aw�-�.„:���k,�lC(;Lro <br /> 7hat 1 am authorized by the o er of th3 p pe to per�orm the wo+tc for which application is made arEd 1 cor.cply vritR the S;ats Cont�acto�s Law 9827 RC;N a�6�B Zi�fi VJ�i;. <br /> �� �� /� <br /> uthorited Age t Signature Date ;i•ea; -���^Z� <br /> � ! � <br /> , .�^ <br />