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MINN • PERMIT APPLICATIOI1. <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:1502 Wall Street PROPERTY TAX#:00645171800100, 006451718 <br /> LEGAL for new construction: Short Plat/subdivision NE Everett Plat Lot No.1-9 (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Imagine Children's Museum - Nancy Johns TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET1 502 Wall Street <br /> °In Everett STATE WA ZIP 98201 <br /> OWNER PHONE: 425.285.1006 ext. 1013 OWNER EMAIL:nancyj©imaglnecm.org <br /> CONTRACTOR NAME:Gaffney Construction <br /> CONTRACTOR ADDRESS: STREET8105 Broadway <br /> CITY Everett STATE WA ZIP 98203 <br /> CONTRACTOR PHONE:425.355.5500 CONTRACTOR EMAIL:jOe@gaffneyconStrUCtion.COm <br /> CONTRACTOR LICENSE#(REQUIRED):GAFFNCI104K3 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 012160 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) Architect <br /> CONTACT NAME: CONTACT PHONE:425.252.2153 —'—` <br /> Adam Clark-2812 architecture CONTACT EMAIL:adam@2812arc tltecture.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:Children's Museum Contract Price of Work: $12,000.00 <br /> Proposed Use of Building:Children's Museum Heat Source: 00as DElectric ❑Other <br /> BUILDING USE: DSFR Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: a ZCommaial ❑Accessory Structure <br /> Typeof Project: ❑New ❑Addition ❑Remodel ❑Repair ❑Sign ❑SprikCr---❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Modifications to the existing Theatre Exhibit and addition of the future Fire Sprinkler room <br /> Modifications to the fire sprinkler system would only involve the relocation of heads to accommodate the new construction. <br /> Fire Sprinkler contractor will submit for and secure this permit. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): B1906-009 <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures count List of Fixtures Count List of Fixtures Count List of Fixtures <br /> NC—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 Drinking Fountain Sink-Utility, laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilatior 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/Insert/Log 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 /> 10/0041g. 0ljune2020 f n —�(. <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br />