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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 wvwv.everettvva.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS: 'PROPERTY TAX# <br /> 3002 Wetmore Ave., Everett, WA 98201 fftl #14 -0(ag <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER City of Everett Phone/E-mail Jeff Harris-425-512-6167 <br /> Address PO Box 12130 citystaterzip Everett,WA 98201 <br /> APPLICANT: Owner Owner's Agent Contractor Contractors Agent Tenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR D.K. Systems, Inc. - DKSYSI*982L1 LaiLic.# 030,428-00 COE Bus.Lic,#049744 <br /> Address PO Box 886, Burlington, WA 98233 Phone/Email 360-755-1555 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT Darron Drake 360-770-0950 <br /> Police HQ - Channel Room Phone/E-mail darron@ciksystemsinc,com <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OFWORK $ 5.000.00 <br /> Existing Use of Building Channel (T.V.) Room HEAT SOURCE: <br /> Proposed Use of Building Channel (T.V.) Room Gas Electric X Other <br /> Building type: Single Family Duplex Townhouse Multi-Family _X Commercial <br /> Type of project: New _X Addition Remodel Repair T.1. Sign Sprinkler Demolition Change of Use <br /> DESCRJPTION OF WORK(additional space provided on the.back): <br /> Install(1)New Daikin Ductless Split System Heat Pump&Refrigeration piping. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION. <br /> Type of Project: New XAddn Alteration Repair Type of Project: New___Addn Alteration Repair <br /> Show Number(#)of fixtures Show Number(U)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 Refrigeration Medical Gas <br /> SPRINKLER/SUPPRESSION SYSTEM Other: <br /> Number of Heads Other: <br /> thereby 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 af 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 tam authorized 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 ROW and 288.200A WAC. <br /> C44119"Y*12) 461W 4OPP.ailitedet) 12/14/2017 <br /> 0 /Aut Ized t Signature Date (Revised 612014 -- <br /> 1 if'I 4 <br /> 112_ <br />