Laserfiche WebLink
PERMIT APPLICATIC?N <br /> BUILDING/MECHANICA�/PLUMBING/SIGN/SPRINKLERtDEM4LITION <br /> C1TY OF EVERETT PERMIT 5ERVICES <br /> 3200 Cedar St., Evere#t, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> APPLiCATIONS ARE ACCEPTED FROM 8 AM i'0 4 PM <br /> SETE ADDRESS: pROpERTY TAx tl IT# <br /> 3025 Lombard Ave., Everett, WA 98201 �, � <br /> LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long lega!description) <br /> OWNER Cit of Ev t' Phone/E-mail Jeff Harris - 425-512-6167 <br /> Address PO Box 12130 CitylState/Zip Everett, WA 98201 <br /> APPI.ICANT:_Owner _Owner's Agent �Contractor _Contrac[oPS A9811I _T8ti8l1►(musl provitle a letter of consent irom Ihg owner to do wnrk in the spacej <br /> CONTl2ACTQR D.K. S stems, Inc. - DKSYSI'`982L1 L 8 I Lic.# 030,428-00 coE a�s. ��c.# <br /> Address PO Box 886, Burlin ton, WA 98233 phone�mai�360-755-1555 <br /> U NE NAME CONTACT FOR PERMIT Darron Drake 360-770-0950 <br /> Senior Center- Sun Roam Phone/E-mail darran@dksystemsinc.com <br /> BUILDING PERMIT APPLICATION CON7RACT PRtCE OF WORK_$ �.00O.00 <br /> Existing Use of Buifding Senior Center HEAT SOURCE: <br /> Proposed Use of Building S2I110f C211tEi' Gas Eiectrao� other_ <br /> Building type: _Single Family _Duplex_Townhouse _Multi-Family �Commercial <br /> T of ro'ect: New Addition Remodel Re air T.I. Si n S rinkler Demolition Cha e of Use <br /> DESCRIPTION OF WORK(add�tiona!space provided on tne back): <br /> instal!(1) New Qaikin Ductless Split System Heat Pump& Refrigeration piping. <br /> MECHANICQL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ot Project: _New�Addn _Alteration_Repair 7ype o1 Project: _New_Addn _AI#eration_Repair <br /> Show Number{#)of fixtures Show Number(#)of fixtures <br /> A/C—air handiin units Toilet <br /> Forced air s stems Bathtub <br /> Gas pi in lavato wash basin <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas ran e Dishwasher <br /> Ciothes d er Glothes washer <br /> Ran e hood Water heater <br /> Exhaust fan Sink(servicelbarlmop/etc.) <br /> Heat pum Backfiow reventer <br /> Unit heater Urinal <br /> Boiler Drinkin Fountain <br /> Refri eration Floor drain <br /> Woadstove Grease trap <br /> 17uctin Roof drams <br /> Other pn Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> Number of Heads ' Other: <br /> I hereby certiry that I have read and examined Ihis application and know tha same fo ba lrue and cortect.NI provisions of laws and ordinances goveming this iype oi work will 6e complied <br /> wi�h whether spedfied herein or not.The granling of a pennil does not presume to give authonty to vio�ate or cancel the provision of any other state or Iocal iaw regulaling construc6on <br /> 7hat(am au0�onzed by the owner of Ihis property to pertorm the work(or which application is made and I compy wilh the Slate Contractors Law 18 27 RCW and 296.200A WAC. <br /> �'�Z�'r�r� 12/14/2017 <br /> Owp�r/Author' d�Ag�gnt,Si'��re Date (Rewsed fz�2012) <br /> �..�,.� x.�»� � � <br /> I <br />