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11 <br /> ERMIT 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 /> fMc- 61-16/40,-6 <br /> SITE ADDRESS:3003 West Casino Road PROPERTY TAX# P IT t. <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 LIContractor U Contractor's Agent LITenant(must provide a)Atter of consent from the owner t o work in the space) <br /> CONTRACTOR Hermanson Company State Lic.# HERMACLOO5BJ City Bus.Li .# ''4 7_ <br /> Address 1221 2nd Avenue N Kent, WA 98032 Phone/Email 253-359-7147 <br /> _:."1" <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> 40-41 Kaylene Nelson <br /> Phone/E-mail 253-359-7147 Kaylene.nelson@a hermanp <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 105,476 <br /> Existing Use of Building Industrial HEAT SOURCE: <br /> Proposed Use of Building Industrial Gast] Electric ✓Q Other. ,. <br /> Building type: D Single Family El Dux[Townhouse El Multi-Family El Commercial <br /> Type of project: n New n Addition _Remodel il Repairs T.I. n Sign nSprinklernDemolitionJChange of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> Demo existing AC and replace with new ac unit <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project:UNewuAddn 11/[Alteration Lepair Type of Project:[New[Addn[(Alteration Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> 1 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 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 am a thorized by the own 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 /> oe-- Q�Q 08/29/18 <br /> Owner/Authorized A t Signature Date (Revised 9/2014) <br />