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0477 PERMIT APPLICATIO <br /> BUILDING f'MECHANICAL / PLUMBING / SIGN I UPRINKLER / 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 I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:Horizon Elementary 222 West Casino Road Everett,WA 98204 PROPERTY TAX#:28041 3001 021 00 <br /> LEGAL for new construction: Short Plat/subdivision See Attached Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Mukilteo School District#6 (Keith Stefanson) TENANT BUSINESS NAME(Commercial): Horizon Elementary <br /> OWNER MAILING ADDRESS: STREET9401 Sharon Dr. <br /> cin. Everett STATE WA ZIP 98204 <br /> OWNER PHONE: 425-356-1330 OWNER EMAIL:Stefansonki@Mukilteo.Wednet.Edu <br /> CONTRACTOR NAME:Aries Building Systems (Kevin Macy) <br /> CONTRACTOR ADDRESS: STREET 4122 Factoria Blvd. SE, Suite 402 <br /> cin, BellevueSTATE WA ZIP 98006 <br /> CONTRACTOR PHONE:(206) 566-9866 CONTRACTOR EMAIL:kmacy@ariesbuildings.com <br /> CONTRACTOR LICENSE#(REQUIRED):CCARIESBS868NA CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 055520 pending <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) Architect <br /> CONTACT NAME: CONTACT PHONE:206-228-1014 <br /> Scott Connor (SCR Architects) CONTACT EMAIL:scott@scr-arch.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:NA Contract Price of Work: $16,500 <br /> Proposed Use of Building:Elementary classrooms Heat Source: ❑Gas OElectric DOther <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑sT.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Contract includes the delivery of one double classroom portable building on site and includes foundation <br /> work, minor site work and electrical provisions. Electrical provisions include power, fire alarm, data and communications <br /> cabling. Additional ramp installed for portable area ADA access. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <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) Sho r,Tub,or Combo <br /> Boiler Gas Ran.• Clothes Washer ink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer He. 'ump&Ductless Dishwasher V Sink-Residential(kitchen,bath,bar) <br /> i <br /> Duct System(Remodel) 'efrigeration Drinking Fountain ' Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) •).- Commercial Ventilation Floor Drain e Toilet <br /> Exhaust Hood( ype .,I (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Ho.. Water Heater Interceptor-Gre..e• Waste/Water Piping Repair <br /> Exhaust Hoo(Iw es•ential) Wood Stove Interceptor-.a,. '•` Water Service(behind meter) <br /> Forced :' Systems Other: Medical Gap-- Water Valves or Fixtures <br /> G. fireplace/Insert/Log Roof Dr.' s Water Heater <br /> `,PRINKLER/ SUPPRESSION SYSTEM S- ,age Ejector or Sump Pump Other: <br /> Water Suppression SystemNo.of Heads <br /> Chemical Suppression System INo. 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 /> m..o,9 /o _„-r PERMIT# 0 0 963-6 pwy s�ms���. 6/5/19 <br /> Scott Connor ��c�> <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br /> /7— <br />