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1:5-14k rfred&r-- <br /> PERMIT APPLICATIONS'� <br /> BUILDING/MECHANICAL/PLUMBING /SIGN /SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADgES berminal Avenue, Everett, Washington PROPERTY TAX#: 29053000201800&29053000203400 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Port of Everett TENANT NAME(If Commercial): NA <br /> OWNER MAILING ADDRESS: STREET 1205 Craftsman Way#200 <br /> CITY Everett STATE WA ZIP 98201 <br /> OWNER PHONE: 4253880633 OWNER EMAIL: steveh@portofeverett.com <br /> CONTRACTOR NAME: To be determined <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: 4ZI OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 4253880633 <br /> Steve Hager, Project Manager CONTACT EMAIL:steveh@portofeverett.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: T5A:Longshoreman Restroom/Shower Contract Price of Work:$50,000 <br /> Proposed Use of Building:building use will remain the same Heat Source: ❑Gas IZElectric ❑Other NA <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ODuplex ❑Multi-Family-#of Units: ❑Commercial 1EflIndustrial <br /> Type of Project: ONew ❑Addition elRemodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Project consists of preparing a new site location for existing portable trailer T-5A that will be physically relocated approx 500 feet east and 300 feet <br /> north of the current location. The work under this permit includes a new ADA ramp system,new utility service connections and rerouting an existing <br /> city 8-inch water pipe that exists under the final building location. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): B1710010(demo and disconnection of utilities at current location). <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 List of Fixtures List of Fixtures #of List of Fixtures #°f List of Fixtures <br /> Fixtures Fixtures 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:Common to T-5,T-5A and <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other:T-56:relocate 8"water main, - <br /> new FH,new 2"water service- <br /> with 2"Port water meter and - <br /> SPRINKLER`/SUPPRESSION SYSTEM ' 2"RPBA. New sewer lift <br /> Number of Heads station for T5A and T-5B. - <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 /> PERMIT# <br /> t g613-0L(4 <br /> • ner/Auth Flgent Sign. - Date (Revised 9/23 2016) <br />