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• • <br /> NOW <br /> PERMIT APPLICATION <br /> U I LD IN GIMEC HANICA /PLUM B I NG/SIG NIS 'RINKLERMEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> APPLICATIONS ARE.AQCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS: PROPERTY TAX#00411300602200, 004N30o60010I, RMI # <br /> 31901 1-4oyt Ave. '21 00431100600100 - o' <br /> LEGAL for new construction: Short Platlsub ' tsion__-_-- __—Lot No._____ (attach copy of tong legal description) <br /> OWNER The Everett Clinic PhonelE-mail 425-339-4286 <br /> Address 3901 Not Ave, city/state/zip Everett NA 98201 <br /> APPLICANT:--Owner --Owner's Agent _—Contractor --Contractor's Contractor's Agent _Tenant{must provide a tetter or cwooni tram the owner to do work In the apoce; <br /> CONTRACTOR The Everett Clinic L&1 tic.# Building Owner-N/A COE Bus.Lc.# <br /> Address 3901 Noyt Ave, Everett NA 88201 Phone/Email 425-339-4286 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Janet I`1onda <br /> The Everett Clinic <br /> Phone/E-mail 425-823-2244 Janet@awerks.com <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Existing Use of Building Medical Office BUlldln� __ M _ HEAT SOURCE: <br /> Proposed Use of BulldingMedicql Office BUIIdIYI Gas_..__ Electric_.___ Other <br /> Building type: -_-Single Family - -Duplex-_._Townhouse _--Multi-Family X-Commercial <br /> Type of project: ___New r_Addition x Remodel _--Repair--T.I.__._Si n.__._S rmkler___Demolition___Chan a of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> THE PROJECT CONSISTS OF RENOVATIONS AND ALTERATIONS TO AN EXISTING MEDICAL CLINIC. NO EXTERIOR WORK TO BE DONE AT THIS TIME. <br /> INTERIOR WORK TO INCLUDE PARTITIONS, NEW CEILING AND LIGHTING. SOME AREAS TO RECEIVE NEW PAINT, CARPET, SHEET VINYL FLOORING <br /> AND NEW CASEWORK, MODIFY FIRE-LIFE SAFETY AND FIRE SUPPRESSION SYSTEMS AS REQUIRED FOR NEW ROOM CONFIGURATIONS. <br /> ELECTRICAL, MECHANICAL, PLUMBING, FIRE-LIFE SAFETY, AND FIRE SUPPRESSION SYSTEMS TO BE BIDDER DESIGNED, BY DEFERRED <br /> SUBMITTAL. <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 fir%)Iace $ Kitchen sink 8 disposal <br /> Gas range Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hood Water heater <br /> Exhaust fan Sink(service/barlmo etc. <br /> Neat pump Backflow reventer <br /> Unit heater Urinal <br /> a Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> Ducting Roof drains <br /> Other Medic-at 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,A I Prov sions of taws and ordinances governing this type of work wit:be complied <br /> with whether specl d sorein or not.T' t of.a permit does not presume to give authority to violate or cancol the provision of any other state or local law regulatvrg construction <br /> Th a r of this pro ty to perform the worxfor which application is made and t cor,oty mth the State Contractors Law 18.27 RCW and 296 200A WAC. <br /> �-zl lTi <br /> Wnwer/Authoriz& Pevised612012) Lr-21 <br />