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0 <br />PERMIT APPLICATION 0 <br />BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />EVERETT 3200 CEDAR STREET, EVERETT, WA 98201 <br />WASHINGTON (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:2801 Oakes Ave TPROPERTY <br />TAX #: <br />LEGAL for new constructiom Short Plat/subdivision Lot No- (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: City of Everett TENANT BUSINESS NAME (Commercial): Fire Administration Building <br />OWNER MAILING ADDRESS: ITIEET2930 Wetmore Ave <br />cITy Everett STATEWA ,,98201 <br />OWNER PHONE: 425.257.6293 <br />1OWNER EMAIL: rsanchez@everettwa.gov <br />CONTRACTOR NAME:TBD <br />CONTRACTOR ADDRESS: STREET <br />CITY STATE ZIP <br />CONTRACTOR PHONE: <br />1CONTRACTOR EMAIL: <br />CONTRACTOR LICENSE #(REQUIRED): <br />I CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): <br />PRIMARY CONTACT: El OWNER [I CONTRACTOR 1:1 OTHER (Please Specify) <br />CONTACT NAME: <br />Ruben Sanchez <br />CONTACT PHONE: 425.257.6293 <br />CONTACT EMAIL: rsanchez@eve�Ov4qgov <br />BUILDING INFORMATION <br />Existing Use of Building:Fire Administration/Training <br />lContract Price of Wor : $_TBD_ <br />Proposed Use of Building- Fire Administration/Training <br />I Heat Source: E]Gas <br />ElElectric ElOther <br />BUILDING USE: EISFR ElTownhouse E]Duplex E71ADU E]Multi-Family - # Units� <br />k ZCom?(ercial []Accessory Structure <br />Type of Project: E]New LIAddition []Remodel L]Repair ZT.I. E]Sign LJSprinkIe`rE1,PeKoIition ElChange of Use <br />DESCRIPTION OF WORK: Tenant improvements include office space renovation on both 1 st & 2nd floors; 1 st floor ADA restroom; <br />'etee4i,&al, 1st & 2nd floor selected window replacement; and garage door replacements. <br />JASSOCIATED BUILDING PERMIT # (if applicable): <br />MECHANICAL <br />PERMIT <br />APPLICATION <br />PLUMBING PERMIT <br />APPLICATION <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />A/C — Air Handling Units <br />Gas Piping <br />Backflow Preventer (Inside Bldg) <br />Shower, Tub, or Combo <br />Boiler <br />Gas Range <br />Clothes Washer <br />Sink -Commercial (3-com p, prep, floor) <br />Clothes Dryer <br />1 <br />Heat Pump&Ductless <br />Dishwasher <br />Sink -Residential (kitchen, bath, bar) <br />Duct System (Remodel) <br />Refrigeration <br />Prinking Fountain <br />Sink -Utility, laundry, mop <br />Exhaust Fans (Residential) <br />Commerci2lVentilatior <br />(Not Heat/AC system) <br />Floor Drain <br />2 <br />Toilet <br />Exhaust Hood (Type 1) <br />Hose Bibb <br />Urinal <br />Exhaust Hood (Type 11) <br />Water Heater <br />Interceptor-Gre2se <br />Waste/Water Piping Repair <br />Exhaust Hood (Residential) <br />Wood Stove <br />Interceptor-Sand/Oil <br />Water Service (behind meter) <br />,Forced Air Systems <br />Other <br />Medical Gas <br />Water Valves or Fixtures <br />I Gas Fireplace/] nserULog <br />I <br />Roof Drains <br />Water Heater <br />SPRINKLER / SUPPRESSION <br />SYSTEM <br />Sewage Ejector or Sump Pump <br />Other: <br />Fater Suppression System <br />I <br />INC. of Heads <br />lChernical Suppression System <br />I <br />I No. of Heads <br />ACKNOWLEDGEMENT. / 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 / 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 />Owner/Authorized Agent Signature <br />/ 12- /2-- 2 c! <br />Date <br />City of Everett Official Use Only <br />(ReOS-e1011012018) <br />