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5010 VIEW DR 2020-07-15
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5010 VIEW DR 2020-07-15
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Last modified
7/15/2020 1:35:31 PM
Creation date
7/15/2020 1:34:54 PM
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Address Document
Street Name
VIEW DR
Street Number
5010
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lPERMIT APPLICATION <br /> veliiiior'',,, A BUILDING i MECHANICAL / PLUMBING / SIGN / SPRINKLER / 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: 5010 View Dr, Everett WA 98203 PROPERTY TAX#: 29053200301800 <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 TENANT NAME(If Commercial): Everett School-Bistrict <br /> OWNER MAILING ADDRESS: STREET 3900 Broadway v w a t I IG Ai u. f3Y� <br /> ciiv Everett STATE WA ZIP 98201 <br /> OWNER PHONE: (425)385-4195 OWNER EMAIL: jcollins@everettsd.org <br /> CONTRACTOR NAME: 13 : �QGt�e �1Le_, <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR L OTHER(Please Specify) /Irc,(1,t t c t <br /> CONTACT NAME: CONTACT PHONE: t-(Zc 2.Y1 316. I <br /> CONTACT EMAIL: <br /> ;,�,� ,L/t h ��0/ i k is s,.,.,n i <br /> BUILDING PERMIT APPLICATION <br /> hh v0 , <br /> Existing Use of Building: Educational:Group E Contract Price of Work: $ tL t VUU . <br /> Proposed Use of Building: Educational: Group E Heat Source: ❑Gas ®Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ®Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair DTA. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> One(1)new 896 SF portable P5•Llanding,and(el e_ramp to be installed approximately 45'west of existing Lowell Elementary school portables. <br /> ASSOCIATED BUILDING PERMIT#(if applicabl ): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair <br /> #of #of #of #of <br /> Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of 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 /> - <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 /> / PERMI�#tsO 1 I <br /> ("4_____I <br /> • ner •ut r .•d gent Signature Datt (Revised 9/23/2016) <br />
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