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OrEn. PERMIT APPLICATION <br /> BUILDIN=ECHANICAL/ PLUMBING /SIGN ' WINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:Sno-Isle Vocational Skill Center, 9001 Airport Way PROPERTY TAX#:28041400203100 <br /> LEGAL for new construction: Short Plat/subdivision See Attached Lot No. (attach copy of long legal description) <br /> CQfITACT I ORMATION <br /> OWNER NAME: Mukilteo School District#6(Keith Stefans ) bl l l TE NT BUSINESS NAME(Commercial): Sno-Isle Vocational Skill Center <br /> OWNER MAILING ADDRESS: STREET9401 Sharon Dr. <br /> cin. Everett STATE WA ZIP 98204 <br /> OWNER PHONE: 425-356-1330 OWNER EMAIL:Stefansonki@Mukilteo.Wednet.Edu <br /> CONTRACTOR NAME:TLVB Construction Inc. (Leroy Vanden-Bosch) <br /> CONTRACTOR ADDRESS: sTREET9224 55th Ave NE Marysville Wa 98270 <br /> CITY Marysville STATE WA zip •'270 <br /> CONTRACTOR PHONE:425-327-7345 CONTRACTOR EMAIL:ticonst3@frontier.com <br /> CONTRACTOR LICENSE#(REQUIRED):TLVBCCI935K1 CITY OF EVERETT BUSINESS LICENSE#(REQ RED) 094Zgtflendirit <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR O OTHER(Please Specify) Architect <br /> CONTACT NAME: CONTACT PHONE:206-228-1014 <br /> Scott Connor (SCR Architects) CONTACT EMAIL:scott@scr-arch.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:Classrooms Contract Price of Work:$s000 <br /> Proposed Use of Building:No change Heat Source: ❑Gas DElectric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ✓❑Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑✓T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Revisions to classroom and storage area at Vocational Skill Center <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures Count List of Fixtu :, Count List of Fixtures Count List of Fixtures <br /> A/C—Air Handling Units Gas Pipin! Backflow Preventer(Inside Bldg) Shower,Tub,or o <br /> Boiler Gas ge - Clothes Washer Sink-Corn r.- cial(3-comp,prep,floor) <br /> Clothes Dryer He. Pump&Ductless Dishwasher _ Sink-r-sidential(kitchen,bath,bar) <br /> Duct System(Remodel) `efrigeration Drinking Fountain :nk-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilation Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residenti Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Inser.'og Roof Drains Water Heater <br /> SPRINKLER UPPRESSION SYSTEM Sewag- ector or Sump Pump Other: <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System No.of Heads <br /> ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with <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.I am 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 /> P `tel 0� C#CD C( <br /> D0ur ss.b swn Canna `' <br /> Scott Connor <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) . ) <br /> ( , <br />