10200 25TH AVE SE 2020-06-15 - Laserfiche WebLink

OLT PERMIT APPLICATION BUILDING ECHANICAL / PLUMBING I SIGN I RINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 10200 25TH AVE SE, EVERETT, WA 98208 PROPERTY TAX#: 28052000200900 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:EVERETT SCHOOL DISTRICT TENANT NAME(If Commercial): EISENHOWER MIDDLE SCHOOL OWNER MAILING ADDRESS: STREET 3900 BROADWAY CITY EVERETT STATE WA ZIP 98201 OWNER PHONE: (425) 385-4195 OWNER EMAIL: JCOLLINS@EVERETTSD.ORG CONTRACTOR NAME: T.B.D. CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR El OTHER(Please Specify)ARCHITECT CONTACT NAME:STEVE LEE/ CONTACT PHONE: (206) 587-3797 STUDIO MENG STRAZZARA CONTACT EMAIL: SLEE@STUDIOMS.COM BUILDING PERMIT APPLICATION Existing Use of Building:MIDDLE SCHOOL Contract Price of Work: $ 15,000 Proposed Use of Building:MIDDLE SCHOOL Heat Source: ❑Gas IZElectric DOther Building Type: DSFR-Detached DSFR-Attached ❑Duplex ❑Multi-Family-#of Units: ®Commercial ❑Industrial Type of Project: New DAddition El Remodel ❑Repair ❑T.l. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: ADDING (1) PORTABLE CLASSROOM,fl WITH WELCOME RAMPS & STAIR. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair #of #of #of #of Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) •Forced Air Systems Unit Heater Bathtub Urinal _Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER I SUPPRESSION SYSTEM Chemical or Water I No.of Heads 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 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 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, and/comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT Owner/Authorized Agent Signature /Date (Revised 9/23/2016)