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PERMIT APPLICATION <br /> BUILDING /MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION <br /> Niiiiigi CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> a <br /> PROJECT SITE ADDRESS: 1304 80th Ave SE,Everett,WA 98203 PROPERTY TAX#: 00392200001k02 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) SEE ATTACHED <br /> CONTACT INFORMATION <br /> OWNER NAME: Everett Public Schools(Attn.Chuck Booth) TENANT NAME(If Commercial): Everett Public Schools <br /> OWNER MAILING ADDRESS: STREET Everett Public Schools,Facilities and Planning,3900 Broadway <br /> crry Everett STATE WA ZIP 98201 <br /> OWNER PHONE: (425)385-4190 OWNER EMAIL: cbooth@everettsd.org <br /> CONTRACTOR NAME: 195B-o#4er F J fr s �..14 tC.—S <br /> CONTRACTOR ADDRESS: STREET <br /> r• <br /> CITY kZe4 V4.- V1.41.--- STATE ZIP <br /> CONTRACTOR PHONE: 42.S S Z% 02-3& CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): (Jc,�, .I,r t -1 (0OcITY OF EVERETT BUSINESS LICENSE#(REQUIR ):04e V <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR I]OTHER(Please Specify) Architect <br /> CONTACT NAME: Scott Connor(SCR Architects) CONTACT PHONE: 206-228-1014 <br /> CONTACT EMAIL: scott@scr-arch.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Storage(S-2) Contract Price of Work:$ 150,000 <br /> Proposed Use of Building: 5-1 Heat Source: ❑Gas ❑x Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ODuplex ❑Multi-Family-#of Units: ❑Commercial 0Industrial <br /> Type of Project: ❑New DAddition ❑Remodel ❑Repair Cl T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Convert portion of industrial building into school district science resource storage and distribution center <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLIC, ON PLUMBING,PERMIT APPLICATION <br /> Type of Project: _New _ Addn x Alterat. ' _Repair Type of Project: New _Addn _Alteration _Repair <br /> #of #of List of Fixtures List of Fixtures #of List of Fixtures #of List o tures <br /> Fixtures Fi.4 res Fixtures Fixtures <br /> NC-Air Handling Units Heat Pump Toilet Backflo -reventer(Inside Bldg) <br /> Forced Air Systems 2 Unit Heater Bathtub Uri <br /> Gas Piping Boiler Lavatory(Wash Basin) %sinking Fountain <br /> 1 Water Heater Refrigeration Shower 1 Floor Drain <br /> Gas Fireplac- Wood Stove 1 Kitchen Sink&Disposal Grease Trap <br /> Gas Rang: Ducting 2 Dishwasher Roof Drains <br /> 1 Clothes 4ryer Hooku Other: 1 Clothes Washer Medical Gas <br /> 1 Ran. Hood 1 Water Heater Other: <br /> 1 E. aust Fan 3 Sink(Servic- :ar/Mo et .) Other: <br /> PRINKLER/SUPPRESSION SYSTEM <br /> Chemical or Water I No.of Heads <br /> ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contafed 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.1 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 /> PERMIT# a <br /> -. _ 1/18/2018 p lJ q V 1- 01 <br /> „1/, -x...........„- <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />