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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 /> -FAhire [4 s-I Z APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS: PROPERTY TAX# I <br /> 3003 West Casino Rd, Everett WA, 98204 PE V( 0S 075 <br /> LEGAL for new construction: Short Plat/subdivision 73 Lot No. (attach copy of long legal description) <br /> OWNER Boeing Phone/E-mail 206-418-8925/garrett-lyman@hoffmancorp.com <br /> Address 3003 West Casino Rd City/State/Zip Everett WA, 98204 <br /> APPLICANT:_Owner _Owner's Agent X Contractor _Contractor's Agent _Tenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR Hoffman Construction L&i Uc.# #HOFFMCC164NC COE Bus.Lic.#D L f 1705 <br /> Address 1505 Westlake Ave. N Ste#500 Seattle, WA 98109 Phone/Email <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> /1D P4fAAi eoiosreCacrs"/ <br /> Phone/E-mail Garrett Lyman/garrett-lyman@hoffmancorp.com <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK l®,O®n <br /> Existing Use of Building %c5M/d0. he y OF#/e.ES HEAT SOURCE: <br /> Proposed Use of Building Gas_ Electric Other <br /> Building type: _Single Family _Duplex Townhouse —Multi-Family XCommercial <br /> Type of project: _New _Addition _Remodel _Repair_T.I._Sign Sprinkler_Demolition_Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): ,� /S7 'LL 7-"✓stioeyeligy /t!o 8/GF <br /> oFF)cE /31.L/G.7j/NG ASV--.. L S 8, Go.tdS- a/.! , 'SeNEG. <br /> ID ( ,in/l e <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 /> NC-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 lam authorized by the wner 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 /> cr/5 ..5— <br /> Owner/Authorized Agent Signature Date (Revised 6/2012) <br /> (/a <br />