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ERMIT APPLICATIO� <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 /> sirea��Ress:3003 West Casino Rd Bidg 45-801 PROPERTYTAX#2804100O1OOZOO P RMIT � <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> owNeR The Boeing Company Pno�e,E-ma;, 4252372121 <br /> Address 3003 West Casino Rd City/State/Zip Everett, WA 98204 <br /> APPLICANT: Owner Owner's Agent ✓Contractor Contractor's Agent TBIl81lY(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR Hermanson State Lic.# HERMACL005BJ aty sus. uo.# 37262 <br /> Address 1221 2nd Ave N Kent, WA 98032 Phone/Email S@@ B@IOW <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Boeing Laura Smith <br /> Pno�e,E-ma;, 2069201690/LSmith�hermanson.com <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 49,589 <br /> Existing Use of Building Commercial HEAT SOURCE: <br /> Proposed Use of Building COtI'1CYleCCIaI Gas� Electric OtherIl <br /> Building type: DSingle Familya Du IexaTownhouse D Multi-Family �✓ Commercial <br /> T e of ro'ect: New Addition � Remodel Re air ✓ T.I. Si n S rinkler Demolition Chan e of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> Replace (26) lavatories. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New ddn Alteration epair Type of Project: New Addn ✓ Alteration Repair <br /> Show Number # of fixtures Show Number # of fixtures <br /> A/C—air handlin units Toilet <br /> Forced air s stems Bathtub <br /> Gas i in 26 Lavato wash basin <br /> Water heater Shower <br /> Gas fire lace Kitchen sink&dis osal <br /> Gas ran e Dishwasher <br /> Clothes d er Clothes washer <br /> Ran e hood Water heater <br /> Exhaust fan Sink service/bar/mo /etc. <br /> Heat ump Backflow reventer <br /> Unit heater Urinal <br /> Boiler Drinkin Fountain <br /> Refri eration Floor drain <br /> Woodstove Grease tra <br /> Ductin 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 comp <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 a thor' d by the owner 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 /> 10/28/ <br /> Owner/A thorized Agent Signature Date (Revised 9/2014) <br />