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OLTPERMIT APPLICATION <br /> BUILDING / MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION <br /> 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 I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 9600 Sharon Dr, Everett,WA 98204 PROPERTY TAX#: 1208000 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION , / <br /> OWNER NAME: Mukilteo School District TENANT NAME(If Commercial):`,'�X'-AC rti_(? 1�l t Ct.(4 t( <br /> OWNER MAILING ADDRESS: STREET 9825 Airport Road _ -t�-� <br /> city Everett STATE WA zip 98204 <br /> OWNER PHONE: 425-356-1330 OWNER EMAIL: StefansonKl@mukilteo.wednet.edu <br /> CONTRACTOR NAME: University Mechanical Contractors, Inc. <br /> CONTRACTOR ADDRESS: STREET 11611 49th Place West <br /> cmi' Mukilteo STATE WA Zip 98275 <br /> CONTRACTOR PHONE: 206-364-9900 CONTRACTOR EMAIL: rjohnson@umci.com <br /> CONTRACTOR LICENSE#(REQUIRED): UNIVMC*343N9 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 006726 <br /> PRIMARY CONTACT: 0 OWNER 47 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-402-1774 <br /> Rob Johnson CONTACT EMAIL: rjohnson@umci.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: 5r,14001 Contract Price of Work:$ 62,500 <br /> Proposed Use of Building: t,)/ Heat Source: OGas DElectric DOther <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: Commercial El Industrial <br /> Type of Project: ❑New FiAddition DRemodel DRepair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Acu vaat ifte.✓ cxvd cI yrdcf eootAufioy).5. iy'' a small sit, -r Glbsc tI <br /> ASSOCIATED BUILDING PERMIT#(if applicable): f <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New f Addn _Alteration Repair Type of Project: New if Addn Alteration Repair <br /> It of #of <br /> List of Fixtures #of List of Fixtures #of List of Fixtures List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> NC-Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater _ Bathtub _ Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> 2 Clothes Dryer Hookups Other: 1 Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/ SUPPRESSION SYSTEM <br /> Chemical or Water 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.lam the owner,or 1 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 /> &fir/ILii4/111 �� PE7Owner/Authorized Agiature /Date (Revised 9/23/2016) II <br /> C lZ <br />