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tERMIT APPLICATION <br /> C 10N <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:3003 West Casino Rd PROPERTY TAX# P I ro- o C U <br /> drt Lio•••92, t3 ra l <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 Rd City/State/Zip Everett, WA 98204 <br /> APPLICANT:U Owner I__l Owner's Agent lidContractor U Contractor's Agent UTenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR Hermanson State Lic.# HERMACLOO5BJ City Bus. Lic.# 37262 <br /> Address 1221 2nd Ave N Kent, WA 98032 Phone/Email 206-920-1690 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Boeing Laura Smith <br /> Phone/E-mail 206-920-1690/LSmith@hermanson.com <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK $17,500 <br /> Existing Use of Building Commercial HEAT SOURCE: <br /> Proposed Use of Building Commercial Gas E Electric_❑, Other❑ <br /> Building type: DSingle Family a Du lex❑_Townhouse Multi-Family ❑✓ Commercial <br /> Type of project: n New n Addition Li Remodel n Repairs T.I. n Sign nSprinklernDemolition❑Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> Provide and install (26) wash basins. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project:LI.NewUAddn Alteration Lepair Type of Project:n NewaAddn ZAlteration['Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> NC—air handling units Toilet <br /> Forced air systems Bathtub <br /> Gas piping 26 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 author ed by the owner 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 /> w. Ir.-- 10/24/28 <br /> Owner/Authorized Agent Signatu - Date (Revised 9/2014) <br />