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• <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:Grand Ave., Everett, WA 98201 PltoreltTVTAX# See Attached P RIVs <br /> 2gtrt� �I�ib�E- 013 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER Path Farmer's Market LLC Phone/E-mail <br /> Address 2804 Grand Ave. Ste. 308 City/State/zip Everett, WA 98201 <br /> APPLICANT:_Owner X Owner's Agent _Contractor Contractor's Agent _Tenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR TRngiCAISF State Lic.# City Bus.Lic.#014(42.-Li ' <br /> Address ��'� Phone/Email <br /> TENANT BUSINESS NAME ,CONTACT FOR PERMIT 2812 architecture- Jesse Wolfe <br /> The Market at Potala Phone/E-mail (425)252-2153 jesse@2812architecture.com <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK $220,000 <br /> Existing Use of Building HEAT SOURCE: <br /> na <br /> Proposed Use of Buildin, GeRi"'erei"r Kitel "•� MAO( <br /> Gas_ Electric_ Other <br /> Building type: —Single Family —Duplex_Townhouse —Multi-Family X Commercial <br /> Type of project: New _Addition Remodel Repair X T.I. Sign_Sprinkler Demolition Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> Construction of a new T.I. for the Market at Potala Village. Work includes full construction of interior <br /> walls and finishes. Utilities deferred under separate permitting at a later date. <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 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 authorized by the owner of this pr'•erty 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 /> O er/Authorized Agent Signat Date (Revised 9/2 14) <br /> 12 <br />