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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: PROPERTY TAX# ��T,#®® I'���'!—tom <br /> 3003 West Casino Rd,Bldgs 45-232 28041500100100 It <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER The Boeing Company Phone/E-mail <br /> Address PO Box 3707 M/C 6A1-01 city/state/zip Seattle,WA 98124 <br /> APPLICANT:_Owner _Owner's Agent X Contractor _Contractor's Agent _Tenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR Johansen Mechanical,Inc. State Lic.# OHANMI173PK City Bus.Lic.# 024276 <br /> Address 20109 144th Ave NE,Woodinville,WA 98072 IPhone/Email 425-481-2266 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Boeing Ivy LeVangie 425-481-2266 ivyl@johansenmech.com <br /> Phone/E-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK $15,926 <br /> Existing Use of Building Manuf./Aerospace HEAT SOURCE: <br /> Proposed Use of Building Same Gas Electric X Other <br /> Building type: Single Family _Duplex_Townhouse Multi-Family X Commercial <br /> Type of project: _New Addition _Remodel Repair y T.I. Sign Sprinkler Demolition Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> Replace (1) Heat pump,modify ductwork and GRD's per plans <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_Addn X Alteration_Repair Type of Project: _New_Addn _Alteration_Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> 1 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(inside bldg) <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> 1 Ducting Roof drains <br /> 6 Other GRD's 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 no he 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 a horized by the owis properly to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WACiiiiie <br /> L") <br /> , / 7/!.O �/ <br /> Owner/ horized Ag- ignature 1 bate (Revised 4/2015) <br />