10200 25TH AVE SE 2019-11-15 - Laserfiche WebLink

4fErrPERMIT APPLICATIO- BUILDING : '_1ECHANICAL / PLUMBING /SIGN . _:'RINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:10200 25TH AVE SE, EVERETT WA 98208 PROPERTY TAX#: 28052000200900 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION ' OWNER NAME: EVERETT PUBLIC SCHOOLS TENANT NAME(If Commercial): t-i(`SP�YI awPt At,a,041, OWNER MAILING ADDRESS: STREET PO BOX 2098 5-al CITY Everett STATE WA zip 98213 OWNER PHONE: 206-768-4062 OWNER EMAIL: N/A CONTRACTOR NAME: MacDonald Miller CONTRACTOR ADDRESS: STREET 7717 Detroit Ave SW CITY Seattle STATE WA ZIP 98106 CONTRACTOR PHONE: 206-768-4062 CONTRACTOR EMAIL: permits@macmiller.COm CONTRACTOR LICENSE#(REQUIRED): MACDOFS98ORU CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 040665 PRIMARY CONTACT: 0 OWNER Lt CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-768-4062 AMMONE BEMBRY CONTACT EMAIL: permits@macmiller.com BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work: $ 300,000.00 Proposed Use of Building: Heat Source: ❑Gas DElectric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ®Commercial ❑Industrial Type of Project: ❑New DAddition ❑Remodel ❑Repair ®T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Replacement of air-cooled chiller, as well as addition of approximately (50) air vents at hydronic piping inside of building. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: New _ Addn _Alteration Repair Type of Project: _New Addn _Alteration _Repair #of #of #of #of Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures A/C-Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains _ Clothes Dryer Hookups 1 Other: CHILLER_ Clothes Washer Medical Gas Range Hood 50 AIR VENTS Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/ SUPPRESSION SYSTEM Number of Heads 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 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 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, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only (. I,Y 5/24/2018 PEM \ O l2 —O( °(4- Owner/Authorized Agent Signature Date (Revised 5/20/2016) I