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mil • PERMIT APPLICATION <br /> BUILDING / MECHANICAL/ PLUMBING/SIGN /SPRINKLER/ DEMOLITION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> WASHINGTON (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 ADDRESS: 7505 Seaway Blvd(Station#3017) c I g1 PROPERTY TAX#:28041100100700 <br /> LEGAL for new construction: Short Plat/subdivision _ _Lot No (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Community Transit TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: sTREET7100 Hardeson Road <br /> °Ty Everett STATE WA ZIP 98203 <br /> OWNER PHONE: 425-348-2367 OWNER EMAIL:todd.jacobs@commtrans.org <br /> CONTRACTOR NAME:Granite Construction Company <br /> CONTRACTOR ADDRESS: STREET 1525 E Marine View Drive <br /> 0,, Everett STATE WA ZIP 98201 <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED):GRANICC916DL CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 47453 <br /> PRIMARY CONTACT: i]OWNER ❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-348-2367 <br /> Todd Jacobs, Community Transit CONTACT EMAIL:todd.jacobs@commtrans.org <br /> BUILDING INFORMATION <br /> Existing Use of Building: Contract Price of Work: $-200,-000 -" :'t 4- cam., <br /> Proposed Use of Building:Bus Shelter Heat Source: ❑Gas ❑Electric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: LJCommer 'al ❑Accessory Struct e <br /> Type of Project: 11New ❑Addition ❑Remodel ❑Repair CIT.]. ❑Sign ❑Sprinkler ❑Demolition Change of Use <br /> DESCRIPTION OF WORK: Community Transit Swift II Bus Rapid Transit (BRT) - <br /> Install Swift BRT station shelter at Seaway Transit Center site. Site work including foundations and site work completed <br /> under separate contract/permit. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): B1701-021 81144749,14g4 <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Rxture Fixture Fixture <br /> Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures <br /> A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep:floor) <br /> Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration i Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Venlitatior Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/InserULog Roof Drains Water Heater <br /> SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System 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 /> --- ' d-'�L///�//fL�/i-clA, --‘ /— ea I— 20 Z t MT# ©2—" © 2-. <br /> �wne/Aut`i ri Agent i na r o Date r o zed g S g j�(e t (Revised 10/10/2018) <br />