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P�EFtMIT APPLICATION <br /> BUILDiNG J MECNANICAL/PLUMBING!5IGN/SPRlNKLER!DEMt3LIT10N <br /> CtTY C}�EVERETT PERMlT SERVICES <br /> 320Q GEbAR STREET,EVERETT,WA 98204 <br /> {P}425-257-8810 ( FfiX 425-257-BBST �(E}e�erstteps@everettwa.gou, wvtiw.everettwa.gav/permits <br /> Blue or BI�k 1nk Onl P'la�se PR4JfCY$fTE INF'pR TI4J►1 '��� "€')�� .j��������s <br /> PRoaecr si�r��an�R�ss.63Q0 Merrilf Cr�ek Parkway � p�op��TY�,�� ���:' ����� a�,°� <br /> LEGAI.for new constructlan: Shart Platlsubdivision Lot hlo. (attach copy of lang legal description} <br /> CQNTACT INF�RMATION <br /> OWN6R NAME: �� a'�%ti��a°;� ��:���°���..c�T� ���"s��t�°_,p..,� �-�����TENAHlT NAM�{IfiComrner�cialj: Ap�lll�� T@C�1niC.211 S�YVI("+,E, <br /> owr���z nnaiuN�anaa�ss: STa��T �340 Merrill Creek Parkwa Sui#e A-1 tl0 <br /> cmr Evere� sra-�WA zir 98203 <br /> OWNER PHQNE: �2Jr-24g-FJFJOrJ dWNER EMAIL: rlaw a'(�„�7a#scorp.net <br /> GONTRACTOR NAME: NQC`t�l4Y+�'St FIP� S�'Stt�tTiS <br /> GONTRACTOR ADDRE5S: srReEr 7815 Soutf� 180th Street <br /> ��n Kent $TATE WA zi�98032 <br /> CONTRACTUR PHONE: �`��-772-7502 CONTRACTOR EMAIL: kb �e� nwfires stems.com ��:�-�;���,�� � ' <br /> CONTR�ICTOR L.9CENSE#�REQWRED}: NC�RTHFS�,�SCR cirv oF�ve�rr aus�ti�ss a�csrvse��REtau��� '�:0481 4 ! `'`.���` <br /> PRIiM1ARY CqN7ACT: ❑OWNER �1 coNrr�cra� C7 oTME�{wi�as�s�o��ya a �� <br /> CONTACT NAlYtE: CONTACT PHONE: ���_772-7502 � �.��',`��,,��.q�'"��a <br /> Kenneth B ner � � �`��-_ ��� � � � � <br /> t`� �- � ��� a .-���. CANTACT EAAAIL:kbryner@n�r�systemS.Com��a�� R°������_.������,„�, <br /> �, L�lU1LDiNG PE[�MMT APP�,IGATtON '�'`�``� "��:, ������ <br /> Existin Use of Buildi : Contract Price af worFF:$2 9'11.Oa <br /> Froposed Usa of 8uildin : Heat Source: ❑Gas , ❑ElecVic ❑Qther <br /> Buildin T e: ❑SFR-Detached ❑5FR-Attachetf C1Du ex �Multi-Famii -#of Units: ='�ICommercia[ Olndustrial <br /> T e of Pra ect: ❑New ❑Addition ❑Remodel ❑Ftepafr ❑T,I. OSi n �IS rinkier ❑Demolition ❑Chan e of Use <br /> DESCRIPTION t7F WORK: <br /> Add two fire sprinklers fram overhe�d system. <br /> ASSOClATED BUILDING PERMIT# if a ica6le: <br /> ME''CHANICAL PERMIt`APPE.ICATION PM� BING P� IT APPLIC "t�QrN <br /> Yype af ProJect: New Addr� _Alt�ratlon �Ftepair Type of Prn�ect: �_Nevur �ddrm _Alteratiran _Repalr <br /> Ffxtures List af Fia tures Fixtures Llst of Fixfares �txtures Ust�Fixtures FGrtr�res List of Ffxt+ures <br /> A/C—Air Handlin Units Heai Purn Taifei Backflow Preventer Inside Bld <br /> Forced Air S sterns Unit Heater BatFshab Urinal <br /> Gas Pi in Bs�iJer Lavat Wash 8asin Drinkin Fourttain <br /> WaFer Heater Refri eration Shower Flaor Drain <br /> Gas Firepiace Wc�c�d Stnve Kitchen Sink�Dis sal Grease Trap <br /> Gas Ran e Duc�n Dishwashar Raof Drains <br /> Clt�th�s D er Hookups Other: Clothes Washer Medicai Gas <br /> ftan e Hood Water Heater Othsr: <br /> F�rh�ust Fan 5ink 5e�rvice{Bar/Mo eta Csther; <br /> SPRINKL�R 1 SUPPRES�IQrN SY$TEM <br /> ' z " hlumber of Fieads <br /> -ACKNOWLEDGEMEM.•f havs revieweci this sppllcatlon and canfnrn the infmmstron conlalnetl hersirr is true and�Yvre�f,Worfc dorre pursuanf ta N1is permlt rrwst Comply wrth <br /> currem fsderat,state,and local taw.The gr�nting of a permff wrly authorizes approved wark and no deWSNo»s therefrom.Deviations must firsf be autfratasd rn wrrttrrg trom the <br /> Bulkifng�fficlat befae being autirorized undar any cvcumstance.f am ihe ownsr,or J am euthcnzsd by Gha owner af this�rty ta perfarm the wnrJc for whrch apptication is maAe, <br /> arni f c�rnply with the State Contractas Law 78.27 fZCW end 296,2C10A WAG. <br /> Cify vl�'v�rett Oh`icief Use Only <br /> � � � , ��'�I �n l — GO� <br /> P�ge r �'F d .3 � j"� �fI���j��p � f °LW.. j '��\ <br /> g� 3�,. �_„ ,p' <br /> 'B��T Y+� �f f .�i.de^"�..+�. '�e-�i�'F� 3 4 4tj T e§f 6.a-)e,.�+�..b� �� f F .. �'br�-„,`` <br /> Y <br /> O �rtAuthorized Agent SIBn kure Dat��� (Revrsed 9/23/2016) <br /> ����-��—�..�d=�- <br />