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IIII PERMIT APPLICATI�I I <br /> BUILDINt� I MECHANICAL/ PLUMBING /SIGN± PRINKLER/ 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 O <br /> Black Irr =`sOn -Pies P <br /> � ly )�� � ROJECt=SITE�Nf©RIYIATION .�, ,. <br /> PROJECT SITE ADDRESS:3 - Col y Avenue- Everett,WA 98203 PROPERTY TAX#: 00517155100100 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT.INFORMATION" <br /> OWNER NAME: Everett School District#2-Attn. Darcy Walker TENANT NAME(If Commercial): Everett High School-Vocational Bldg <br /> OWNER MAILING ADDRESS: STREET 3900 Broadway <br /> cm' Everett STATE WA ZIP 98201 <br /> OWNER PHONE: 425-385-4190 OWNER EMAIL: dwalker@everettsd.org <br /> CONTRACTOR NAME: ...Tarr '7 -I C , l <br /> CONTRACTOR ADDRESS: STREET /s©(,(o -o A W;, ,„,_ RA <br /> CITY '� ,.�� STATE f /4 ZIP 72.233 <br /> CONTRACTOR PHONE: 344 3 CONTRACTOR EMAIL: r .c.✓"ke 4,7e.0 c vi i tS-4'01-rt <br /> CONTRACTOR LICENSE#(REQUIRED):` i(t-O(/L.gge0QS` CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):cc7zz <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-259-3161 <br /> Corey Wright CONTACT EMAIL: coreyw@dykeman.net <br /> BUILD IG PERMIT AP ' CAON <br /> Existing Use of Building:Education Contract Price of Work:$ Z.5bj a00 . a* <br /> Proposed Use of Building: Education (No Change) Heat Source: ❑Gas 0 Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: RtCommercial ❑Industrial <br /> Type of Project: ❑New ❑Addition 121Remodel ❑Repair OT.I. ❑Sign ❑Sprinkler CI Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Interior tenant improvement consisting of removal and replacement of interior finishes,-Iightintr and minor demolition to existing non-bearing walls and doors. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL,,PERM)ITaAPPLICATION,, ,...;; . ,*Ll MBING PERMIT 4#0,00:01.4*,: <br /> Type of Project: _New Addn Alteration _Repair Type of Project: _New _Addn ALAIteration _Repair <br /> Fixtures List of Fixtures Fixtures List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures <br /> A/C—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 /> Clothes Dryer Hookups Other: 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 I 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 /> / PEW#\ ^jo� O V^S <br /> Owner/A orized Agent Signature Date (Revised 9/23/2„(01„6) i/„ <br />