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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/BION/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: ,rte -7= ` PROPERTY TAX# P 1 <br /> 3003 West Casino Roads ,0?4 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER BOEING Phone/E-mail <br /> Address 3003 West Casino Road City/State/Zip Everett, WA <br /> APPLICANT:Li Owner u Owner's Agent UContractor U Contractor's Agent DTenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR Hermanson Company State Lic.# HERMACLOO5BJ City Bus.Lic.# 037262 <br /> Address 1221 2nd Avenue N Kent, WA 9$032 Phone/Email 253-359-7147 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Kaylene Nelson <br /> Phone/E-mail 253-359-7147 Kaylene.nelson@hermang <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 28,569 <br /> Existing Use of Building Industrial HEAT SOURCE: <br /> Proposed Use of Building Industrial Gasj Electric El Other El <br /> Building type: IDSingleFamily Q Du IexEJTownhouse D Multi-Family Commercial <br /> Type of project: n New El Addition L1 Remodel J Repairs T.I. n Sign 1 1SprinklernDemolitionDChange of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> Replace 3 wall ac units <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project UNewL,1Addn 116Alteration Ltepair Type of Project Q.New❑.Addn D.Alteration EiRepalr <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> 3 A/C-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 Medical Gas <br /> SPRINKLER/SUPPRESSION SYSTEM Other: <br /> Number of Heads 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 comp <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:• aut.o•%ed by the o =r of this property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> 10/17/18 <br /> Owner/ utho zed • nt gnature Date (Revised 912014)6 <br />