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ahl <br /> IIrM <br /> PERMIT APPLICATIOIJ —5 <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 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADD -X24--Ol erminal 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 /> cliv 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: 8 OWNER 0 CONTRACTOR IPI 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: T5:Cargo handling equipment storage&maintenance Contract Price of Work:$800,000 <br /> Proposed Use of Building:building use will remain the same Heat Source: ❑Gas ❑Electric ❑Other NA <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial iglIndustrial <br /> Type of Project: ❑New ❑Addition eiRemodel ❑Repair ❑T.I. OSign OSprinkler ❑Demolition OChange of Use <br /> DESCRIPTION OF WORK: <br /> Project consists of preparing a new site location for the existing T-5 Cargo Shed Building that will be physically relocated approx 500 feet east and 300 feet <br /> north of the current location. The work under this permit includes new concrete foundations,structural upgrades,new utility service connections and <br /> rerouting an existing city 8-inch water pipe that exists under the final building location. Sprinkler system will be a deferred submittal. <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 List of Fixtures #of List of Fixtures #of List of Fixtures #of 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-5B:relocate 8"water main, - <br /> new FH,new 2"water service' <br /> with 2"Port water meter,2" - <br /> SPRINKLER/SUPPRESSION SYSTEM RPBA and yard hydrant. No <br /> Deferred Submittal Number of Heads sewer work for T-5. - <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 /> Aid <br /> PERMIT#irom <br /> 6.1 '30 3 -0 ct3 <br /> • "Aut�` 'gent Signa re Date (Revised 9/23/2016) <br /> (12: <br />