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PERMIT APPLICATIO� <br /> BUILDING/MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 � FAX 425-257-8857 �(E)everetteps@everettwa.gov� www.everettwa.gov/permits <br /> (Blue or Blacknln�;�nly.Please) �� ��,;�tOJE�T SITE INFO.RMA�1�N ,' ��� t� 'F <br /> � <br /> � �.,, � <br /> ,�S`l ^ t ;� , . ��6 k... ...,'' <.. ,. <br /> PROJECT SITE ADDRESS: 6605 HARDESON RD. STE. 101 PROPERTY TAX#: 0211904 <br /> LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) <br /> ' � CONTACT`INFORMATION : ` , ` <br /> OWNER NAME: HOGLAND TRANSFER TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: sTReer SAME AS SITE ADDRESS <br /> cirr STATE ziP <br /> �. <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: UNIVERSAL REFRIGERATION <br /> CONTRACTOR ADDRESS: sTReer 4102 B PL. NW. <br /> crrv AUBURN srnre WA ZiP 9 8 0 O 1 <br /> CONTRACTORPHONE: �253) 939-5501 CONTRACTOREMAIL: DESIGN @UNIVERSALREFRIG.COM <br /> CONTRACTOR LICENSE#{REQUIRED): �IVERI159RF CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 027645 <br /> PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) AIDAN WILSON <br /> CONTACT NAME: CONTACT PHONE: (253) 939-5501 <br /> CONTACT EMAIL: DESIGN @UNIVERSALREFRIG.COM <br /> ` ,BUILDING`PERMIT�1PPLIC�`TiON` <br /> _ r_ .. . , , <br /> Existin Use of Building: WAREHOUSE " Contract Price of Work:$ � d <br /> Proposed Use of Building: Heat Source: �Gas ❑Electric ❑Other <br /> Buildin T pe: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Famil -#of Units: Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel �9Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: REMOVE AND REPLACE (1)3 TON PACKAGE GAS ROOFTOP UNIT WITH SIMILAR LIKE AND <br /> KIND. <br /> ASSOCIATED BUILDING PERMIT# if a licable: <br /> MECHANICAL PERMIT APPLICATION; ` PLUMBING PERMIT APPLICATION ' - ' <br /> Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair <br /> #of /rst of Fixtures #of Vst of Fixtures #of List of Fixtures #of /�st of Fixtures <br /> Flxtures Fixtures Fixtures Fixtures <br /> A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bidg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> . Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink Service/Bar/Mop/etc. Other: <br /> SPRINKLER 7 SUPPRE.SSION SYSTEM <br /> Chemical or Water No.of Heads <br /> ACKNOWLEDGEMENT.•I have reviewed this application and confirm the information contained herein is true and correct.Work done pursuant to this permit must comply with <br /> current federal,state,and/ocal law.The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must�rst be authorized in writing from the <br /> Building Official before being authorized under any circumstance.I am the owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett O�cia/Use Only <br /> � � PERMIT# <br /> 6/14/7 ��+b� <br /> OwnerlAuthorized Agent Signature Date (Revised 9/23/2016) <br /> +:� <br />