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PERMIT APPLICATIO <br /> lal <br /> BUILDINOMECHANICAL/ PLUMBING/SIGN PRINKLER/ 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 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:2 Colby Avenue, Everett,WA 98203 PROPERTY TAX#:00517155100100 <br /> LEGAL for new construction. o division N.A Lot No.N.A. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Everett School District#2-Attn. Darcy Walker TENANT BUSINESS NAME(Commercial) <br /> OWNER MAILING ADDRESS: STREET3900 Broadway GAS CiL � <br /> cry Everett STATE WA ZIP 98201 <br /> OWNER PHONE: 425-385-4190 OWNER EMAIL:dwalker@everettsd.org <br /> CONTRACTOR NAME:T�B�r VC ��-t ` (iTlActtl <br /> CONTRACTOR ADDRESS: STREET CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: � <br /> CONTRACTOR LICENSE#(REQUIRED' i�� �t .1_, E CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): SJZ2 5 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) Architect--Dykeman, Inc. <br /> CONTACT NAME: CONTACT PHONE:425-293-9983 <br /> Kelli Smith CONTACT EMAIL:kellis@dykeman.net <br /> BUILDING INFORMATION <br /> Existing Use of Building:Education Contract Price of rk: $448,400 (based on ICC tables) <br /> Proposed Use of Building:Education(No Change) Heat Source: ❑ as 0Electric 0Other Hydro=boiler system <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: IiCommercial ❑Accesso ructure <br /> Type of Project: ❑New ❑Addition ❑✓Remodel ❑Repair ❑✓T.I. ❑Sign LISprin ❑Demolition ge of Use <br /> DESCRIPTION OF WORK: Tenant improvement consisting of removal and replacement of interior finishes, suspended ceiling, <br /> lit ting..ancir inor olumhing__— <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <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 Ventilation Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) Water Heater Interceptor-Grease WasteNVater 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 I 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 WAG. <br /> City of Everett Official Use Only <br /> /,A :�� PERT \k ~v `3 <br /> �r Il. l2-� <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) 11 <br />