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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 www.everettwa.org <br /> SITE ADDRESS: PREMC 1321 Colby Ave, Everett,WA PROPERTY TAX# PeStnniT <br /> K <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER Phone/E-mail <br /> Address City/State/Zip <br /> APPLICANT:_Owner _Owner's Agent _ '_Contractor _Contractor's Agent _Tenant�m�si P�o��de a iene�o+consenc trom me ow�e�eo do wo�k���ne sPace> <br /> CONTRACTOR B�F.P.S., INC State Lic.# BFPSLL`929MA City Bus. Lic.# <br /> Address PO Box 1110, Granite Falls,WA 98252 Pnone/Email 425-345-9423 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> PREMC Keith Kyle <br /> �hone/E-mail 425-239-2698/keith burnsfire.com <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK $25,500.00 <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas Electric Other <br /> Building type: _Single Family _Duplex_Townhouse _Multi-Family _Commercial <br /> T e of ro'ect: New Addition Remodel Re air ` ST.I. Si n S rinkler Demolition Chan e of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> Relocate sprinkler heads to meet code for 2nd floor of Colby MOB of new office and exam room remodel. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_Addn _Alteration_Repair Type of Project: _New_Addn _Alteration_Repair <br /> Show Number # of fixtures Show Number # of fixtures <br /> A/C—air handlin units Toilet <br /> Forced air s stems Bathtub <br /> Gas i in Lavator wash basin <br /> i Water heater � Shower <br /> Gas fire lace Kitchen sink&dis osal <br /> Gas ran e Dishwasher <br /> Clothes dr er Clothes washer <br /> Ran e hood Water heater <br /> Exhaust fan Sink service/bar/mo /etc. <br /> i Heat pump Backflow preventer inside bld <br /> Unit heater Urinal <br /> Boiler Drinkin Fountain <br /> I Refri eration Floor drain <br /> � Woodstove Grease tra <br /> Ductin ! Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> �23 ' 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 specifed 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 t�owner of this op�o p orm the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> � <br /> `� �?f;f,�-3 ' /� (C d��f, �� �,�L� <br /> Owner/Authorized Agent Signature � Date (Revised 4/2015) <br />