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u <br />u <br />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 www.everettwa.org <br />SITE ADDRESS: <br />2020 Lake Heights Drive, Everett WA 98208 <br />LEGAL for new construction: Short PlaUsubdivision <br />OWNER Lvnnwood Orthodox <br />PROPERTY TAX # �E �VIIT � <br />ROW-R-3 1'� �,U t-'�� V� J <br />Lot No. (attach copy of long legal description) <br />Phone/E-mail <br />s5 1711 Spruce Way ICity/State/zipLynnwood WA 98208 <br />.ICANT: _ Owner _ Owner's Agent _ Contractor � Contractor�S Ag2f1t _ T@f18f1t (must provide a letter of consent from the owner to do work in the space) <br />TRACTOR General Dynamics, Inc. <br />ss 296 SW 43rd St., Building 4, Lynnwood WA 98036 <br />AT & T Mobility WA6981 Silver Lake <br />BUILDING PERMIT APPLICATION <br />State Lic. # GENERD1927CG Cit <br />Pnone/Email 425-740-6392 <br />CONTACT FOR PERMIT <br />Sharon Snook, Camp+ & Assoc., Inc <br />Phone/E-mai1206-851-9909 sharon.sn <br />CONTRACT PRICE OF WORK `.� �� <br />Bus. Lic. # <br />� <br />com <br />Existing Use of Building Cell Towef HEAT SOURCE: <br />Proposed Use of Building No ChanC�e Gas Electric Other <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi-Family � Commercial <br />Type of project: New Addition � Remodel Repair _ T.I. _ Sign _Sprinkler _Demolition Change of Use <br />DESCRIPTION OF WORK (additiona/ space provided on tne back) : <br />Add (6) new runs of coax &(3) TMAs on the existing 90'-0" SNO-PUD pole. Add (3) RRH units, (3) Dual Diplexers <br />&(3) 15AMP breakers to ground equipment <br />MECHANICAL PERMIT APPLICATION <br />of Project: _New _Addn _Alteration _Repair <br />Show Number #) of fiutures <br />A/C — air handlin units <br />Forced air s stems <br />Gas ipin <br />Water heater <br />Gas fire lace <br />Gas ran e <br />Clothes dr er <br />Ran e hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />i Boiler <br />Woodstove <br />� Other <br />SPRINKLER / SUPPRESSION SYSTEM <br />Number of Heads <br />PLUMBING PERMIT APPLICATION <br />of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixfures <br />Toilet <br />Bathtub <br />Lavato wash basin <br />Shower <br />Kitchen sink & dis <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/ <br />Backflow preventE <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Medical Gas <br />Other: <br />Other: <br />I hereby 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 of work will be compl <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 I am authorized by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 1827 RCW and 296200A WAC. <br />Sharon Snook� mp+ & ssoc, In obo General <br />5/23/2016 <br />OwnerlAut i ed Age t S nature Date (Revised 9/2014) <br />Dynamics ��� <br />