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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 /> -fu („ 4 5-1'Z APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS: PROPERTY TAX# P �T ��_® � <br /> 3003 West Casino Rd, Everett WA, 98204 <br /> LEGAL for new construction: Short Plat/subdivision J.._ Lot No. (attach copy of long legal description) <br /> OWNER Boeing Phone/E-mail206-418-8925/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 Lic.# #HOFFMCC164NC COE Bus.Lic.#041-70_5 <br /> Address 1505 Westlake Ave. N Ste # 500 Seattle, WA 98109 Phone/Email <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> ydFF4i.+*/ eo PSZet'GT/eft/ <br /> Phone/E-mail Garrett Lyman/garrett-Iyman@hoffmancorp.com <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK rl 0 f ODO <br /> Existing Use of Building rEisiMeAA y Qc,IGES 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): „2-4vS774LL r lioa2.ly2y Are 8/LF <br /> OFFI c6 ,Flt/La/NG Fod- `cs E $y GoAds-Tiet.Ac. a/%( ,406;eSoA/ , <br /> / 1 <br /> 4x4P0 DO1,Cbto Cie <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 I am authorized by caner of this property to perform the work for which application is made and I comply with the State Contractors Law 1827 RCW and 296.200A WAC. <br /> /S /5— <br /> Owner/Authorized Agent Signature Date (Revised 6/2012) <br />