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i <br /> PERMIT APPLICATIO• <br /> BUILDING/MECHANICAL/PLUMBING/SIGN /SPRINKLER/DEMOLITION <br /> Ote/Y/11 -7"4. <br /> CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> {Blue,or'Black Pnk Only_Please)._ r PROJECT SITE INFORMATION l I k'+- i , <br /> PROJECT SITE ADDRESS: 3030 Hoyt Ave. Everett, WA 98201 PROPERTY TAX#: 00439171901700 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> =CONTACT;INFORMATION I `I { .tm ,h;`` <br /> OWNER NAME: Kissler Enterprises LP TENANT NAME(If Commercial): Norco ' i I . , <br /> OWNER MAILING ADDRESS: STREET 1 125 W Amity Rd , <br /> ciry Boise STATE ID ZIP 83705 <br /> OWNER PHONE: 425-949-4552 OWNER EMAIL: <br /> CONTRACTOR NAME: Total System Services <br /> CONTRACTOR ADDRESS: STREET 8227 44th Ave W <br /> ci,r Mukilteo <br /> STATE WA zip 98275 : <br /> CONTRACTOR PHONE: 206-941-1448 2ZL(pCONTRACTOR EMAIL:jschlund@tsshvac.com gK7 3' <br /> CONTRACTOR LICENSE#(REQUIRED): TOTALSS935•Kt CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):(®c)1301 38' <br /> PRIMARY CONTACT: 0 OWNER 9 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 360-310-0443 <br /> Jason Schlund <br /> CONTACT EMAIL: jschlundOtsshvac.com <br /> BUILDING:PERMIT APPLICATION $, t is F.',t 1„.a t,.,r <br /> Existing Use of Building:Commercial Contract Price of Work:$14819.00 <br /> Proposed Use of Building:Commercial Heat Source: ❑Gas BElectric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: _ `dCommercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use ' 1 <br /> DESCRIPTION OF WORK:._ ,sill r?vyko✓L E4r f,i,,,l York �Jca.+J re /are_, 17, inwgide Yoff kro 5 1n,6kf,,1f,/A.Q)5�+fa i.eR , <br /> (,('-h-i feconsa4ott ,tet ldw s.,t rl t'onJvn 4J(/ 4C1y4,4) Wein/ C GIAit�-cif ir* c�r� 4f KC <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> ;ii '.MECHANICAL;PERMIT'APPLIGATION . PLOMB ING,PERMIT P0LICAT i , ilitai, <br /> Type of Project: _New _ Addn ✓Alteration _Repair Type of Project: _New _Addn Alteration _Repair, <br /> #of List of Fixtures #of <br /> List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures <br /> Fixtures Fixtures <br /> A/C-Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain . <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains , <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood <br /> Water Heater Other: ' <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> Chemical or Water I No.of Heads <br /> ACKNOWLEDGEMENT:l have reviewed this application and confirm the information contained herein is true and correct.Work done pursuant to this permit must comply with 1 <br /> current federal,state,and local law.The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> Building Official before being authorized under any circumstance.lam the owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> �!(� PERMIT# <br /> 1�/31�� 6 M ($10 <br /> * 110 <br /> er/Auth rized Agent Signature Date (Revised 9/23/2016) <br />