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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 JD ii -/4/ <br /> SITE ADDRESS: PROPERTY TAX# PERMIT <br /> 3003 West Casino Road . 28041000100200 �,',. Q Da p— 0?. <br /> LEGAL for new construction: Short Plat/subdivision NA Lot No.NA (attach copy of long legal description) <br /> OWNER Boeing Phone/E-mail4252372121 <br /> Address3003 West Casino Rd. Everett, WA 98204 City/State/Zip Everett, WA 98201 <br /> CONTRACTOR Hermanson Company L&I Lic.#37262 <br /> Address 1221 2nd Ave N Kent, WA 98032 Phone/Email 2069201690/LSmith@hermanson.com <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Boeing Company Phone/E-mail Laura Smith <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK $ '0100 <br /> — <br /> Existing Use of Building Commercial HEAT SOURCE: <br /> Proposed Use of Building Commercial Gas Electric Other <br /> Building type: Single Family Duplex Townhouse Multi-Family (` Commercial <br /> Type of project: New Addition Remodel Repair )t T.I. Sign Sprinkler Demolition Change of Use <br /> Description of Work(additional space provided on the back): Replace existing exhaust fan. <br /> Have you started working without a permit? YES X NO <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 /> 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 <br /> this type of work will be complied with whether specified herein or not.The granting of a permit does not presume to give authority to violate or cancel <br /> the provision of any other state or local law regulating construction or the performance of construction.That I am authorized by the owner of this property <br /> to perform the .rk for�which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC <br /> r <br /> Owner/Author . •gent Signature Date (Revised 2/2011) <br /> v la <br />