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477. PERMIT APPLICATIO <br /> BUILDINLIECHANICAL/PLUMBING/SIGN RINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> (Blue olr Black IlnkOnly"Pleas)? PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:2416 Colby Ave, Everett,WA 98201 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 Public Schools TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET3900 BROADWAY <br /> CIN Everett STATE WA zip 98201 <br /> OWNER PHONE: 425-385-4198 OWNER EMAIL:cbooth@everettsd.org <br /> a _. <br /> CONTRACTOR NAME: ✓ #, /AAA to it <br /> CONTRACTOR ADDRESS: STREET <br /> , <br /> _ \CITY : _ : ! _ _ STATE , ZIP v <br /> _ r <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> I <br /> CONTRACTOR LICENSE#(REQUIRED)/\ C rY 1(rt "1)C�Gj� CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):it <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) Architect <br /> CONTACT NAME: CONTACT PHONE:206-340-9500 <br /> Brittney Denning CONTACT EMAIL:bdenning@bassettiarch.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:Educational(High School) Contract Price of Work:$290,000 <br /> Proposed Use of Building:Educational-No Change to Use Heat Source: OGas ❑Electric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ✓❑Repair CIT.!. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Restoration of cornice line and terracotta at the Everett High School building .rnv�(CL U U Pi <br /> lannl <br /> ASSOCIATED BUILDING PERMIT#(if applicable): 6114 t Meth" Y1/bl lG cavo <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT" APPLICATION <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures <br /> NC—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilatior 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(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof Drains Water Heater <br /> SPRINKLER"I SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System 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.lam 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 RC W and 296.200A WAC. <br /> City of Everett Official Use Only <br /> 0.141ALqVDOOL— `5/� l1 PERMIT i� O5` O� <br /> Owner/Authorized Agent Signature ate (Revised 10/10/2018) <br /> 1 <br />