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PERMIT APPLICATI6N <br /> BUILDING/fNECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 w�✓�v.everettwa.org <br /> SITE ADDRESS: PROPENTY TAY p PERMIT# <br /> 4817 Evergreen Way (`�� — 10 <br /> LEGAL fcr neN[ons•,ruc0oa. Short PIaL'SuDOrviSicn Lct No._ (aCacn wpy of lor.g Icgal Cescnpt�on) <br /> OWNER Larson & Assoc. LLC �'noce�E•ma�i <br /> aca�Pu 3223 - 186th PI SE G,yiStateJZip Bothell, WA 98012 <br /> APPLICANT._0+.+;er _p,mersA9ent _Comnctor _Conyapo�sAgent _Tenantw��.:cA.c��i��m�u�r,.,m�a„�rbao,,,,�„M,a,�� <br /> coNrancroR D.K. S stems Inc state uc.tt DKSY I'982L1 c�ry a�s. u� a 049744 <br /> nnc,eu PO Box 886, Burlington, WA 98233 Pror�r�aii 360-755-1555 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Jersey Mikes Subs Kevin Korthuis - kevin@dksystemsinc.com <br /> Phone/E�maa <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK $ 16.000 00 <br /> Existing Use of Builtling HEAT SOURCE. <br /> Proposed Use of Bwltling X Gas E!c�nc Otner <br /> Builtling type�. _Single Family _Duplex_Townhouse _Multi-Famity �Commeraal <br /> T e of ro�ecC New Addltion Remodel Re air T.I. Si r Sorinkler Demolition Chan e ot Use <br /> DESCRIP710NOFWORK�addrt�ona�spacepmvioeaontheeack/: � <br /> Division 15 HVAC System - (�) Make Up Air units, (2) Hood Assemblies, (�� Exhaust Fans, <br /> Cuctw�rk diffusers & Returns, Hoods Steel Ductwork & �ermestai� <br /> MECHANICAL PERMIT APPLICAT!OK PLUMBING PERFIIT APPLICATION <br /> Type of Project: New ACdn _Alteration_Repair Type ol Project: _New_AAdn Alleration Rnpair <br /> Show NumDer(11�ol fixiun!s Show Humbcr )ol firiums <br /> I A/C—airhandlin units � Toilel <br /> i Forced air r••stems I Bathtub <br /> I Gas i m I Lavato wash basin) <br /> ! Water heater <br /> I Shower <br /> I Gas fire lace i Kltchen sink 8 dis osal <br /> � G05 ran e � �iSR�vaSher <br /> i C!�,:fhes d er I Clot�es washer <br /> � Ran e hood Water heater <br /> � Exhaustfan <br /> I Smk service/baNmo /e(c.) <br /> ( Heat um Baudlow revencer <br /> I Unil heater I Unnal <br /> � Boder � Dnnkin Fountain <br /> I Refn eration I Floor drain <br /> ! Wootlstove <br /> ' I Ductin Grease tra <br /> Rool drains <br /> � Other ___ Med�ral Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Other: <br /> � Number of He^ds � Qther: <br /> I�crc�y p`IMy Cat I!fBve na0 i�0 e�.tmNM N�5 appL�aUon anC Anow C�c same to On liuc anC mrteG.pll prvv�ons ol L'iws ane ordinances govumv�g 11ie type ol�wA wil pe wmp <br /> wC�wTeNer:p��min or nat Te granLrg cl a pertM Coes nol pmwme Io gNe auNortly Ia vw4t;e crUn[�I Ihe pr9v�:ion ol any oL9er 6tate or bG:l ITn'fegu�iaig COnsllLann <br /> T�al i'am auNo 0� e pypef f L�is O�M!�iy Io pCrtortn(�e v.oA far whitl�ap0l�eitDn is matic anE I mmpy w.f��e$�ate ConCaW.Law IB.17 RpW an�296.100A IVAC. <br /> / / / <br /> ;� - , �,- L-i� � z <br /> Own rlAuthorrtcapgcnt5ignaWm Date (Rew5ed9?O7.) <br /> � <br />