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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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS: PROPERTY TAX#00411300602200, 00411300600101, PERMIT# <br /> 3901 4-loyt Ave. 00431100600100 P7160S -a 35 <br /> LEGAL for new construction: Short Plat/subdivisionLot No. (attach copy of long legal description) <br /> OWNER The Everett Clinic Phone/E-mail 425-259-1162 <br /> Address 3901 l-loyt Ave. City/State/Zip Everett; WA 95201 <br /> APPLICANT:__ Owner __Owners Agent Contractor Contractor's Agent Tenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR The Everett ClinicL&I Lic.# Building Owner-N/A COE Bus. Lic.# <br /> Address 3901 Noyt Ave. Everett, WA 95201 Phone/Email 425-259-1162 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> The Everett Clinic Franklin Ng <br /> Phone/E-mail 425-523-2244 franklin@awerks.com <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK $75_,000.00 <br /> Existing Use of Building Medical Office Building HEAT SOURCE: <br /> Proposed Use of Building Medical Office Building Gas Electric Other <br /> Building type: Single Family Duplex Townhouse Multi-Family X_Commercial <br /> Type of project: New Addition _X Remodel Repair T.I. Sign Sprinkler__—Demolition___Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> THE PROJECT CONSISTS OF MINOR ALTERATIONS TO AN EXISTING MEDICAL CLINIC NO EXTERIOR WORK. MODIFICATIONS OF INTERIORS TO <br /> INCLUDE REMOVAL OF NON-BEARING PARTITIONS I CASEWORK. NEW WORK TO INCLUDE: METAL STUD WALLS, NEW FLOORING AND CEILING IN <br /> SOME AREAS. MODIFICATIONS TO ELECTRICAL, MECHANICAL, PLUMBING SYSTEMS, AND FIRE-LIFE SAFETY SYSTEMS AS REQUIRED BY NEW <br /> WORK <br /> ELECTRICAL, MECHANICAL, PLUMBING AND FIRE-LIFE SAFETY SYSTEMS TO BE BIDDER DESIGNED, BY DEFERRED SUBMITTAL <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: -__New___Addn Alteration Repair Type of Project: _New-_ Addnp <br /> 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 /> 1 Water heater Shower <br /> Gas fireplace l Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes dryer i Clothes washer <br /> Range hood Water heater <br /> Exhaust fan ; Sink(service/bar/mop/etc.) <br /> Heat pump I Backflow preventer <br /> Unit heater Urinal <br /> l Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> Ducting Roof drains <br /> Other j Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM I 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.Ali provisions of laws and ordinances governing this type of work will be complied <br /> with w -ther specified••ein 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 /> Thal . thorized b•ner 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 /> A i) Cd COI I5 <br /> Owne 'rized Ag: t Sign., re V Date (Revised 6/2012) <br />