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0 <br />EVERETT <br />WASHINGTON <br />. PERMIT APPLICATIO0 <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 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: Explorer Middle School 9600 Sharon Dr. Everett, WA 98204 <br />PROPERTY TAX #: 28041300300200 <br />LEGAL for new construction: Short Plat/subdivision ATTACHED Lot No. (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: Mukilteo School District (Keith Stefanson) TENANT BUSINESS NAME (Commercial): Explorer Middle School <br />OWNER MAILING ADDRESS: ST11IT9401 SHARON DRIVE <br />CiTv EVERETT STATE WA ziP 98024 <br />OWNER PHONE: 425-356-1222 <br />OWNER EMAIL: stefansonki@mukilteo.wednet.edu <br />CONTRACTOR NAME: Aries Building Systems (Kevin Macy) <br />CONTRACTOR ADDRESS: STREET4122 Factoria Blvd. SE, Suite 402 <br />CITY BELLEVUE STATE WA Zip 98006 <br />CONTRACTOR PHONE: (206) 566-9866 <br />CONTRACTOR EMAIL: kmacy@ariesbuildings.com <br />CONTRACTOR LICENSE #(REQUIRED): PGXRIESBS868NA <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 055520 pending <br />PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑v OTHER (Please Specify) ARCHITECT <br />CONTACT NAME: <br />Scott Connor (SCR Architects) <br />CONTACT PHONE:206-228-1014 <br />CONTACT EMAIL: Scott@SC <br />BUILDING INFORMATION( <br />Existing Use of Building: EXISTING MIDDLE SCHOOL <br />Contract Price of Work: $ 34,000 <br />Proposed Use of Building: Portable Classrooms at Middle School <br />Heat Source- ❑Gas E]Electric ❑Other <br />BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family - # Un ts: ❑✓ Commercial ❑Accessory Structure <br />Type of Project: ❑New ❑✓ Addition ❑Remodel []Repair LIT. 1. ❑Sign Sprinkler ❑Demolitiopj_ Change of Use <br />DESCRIPTION OF WORK: WORK UNDER THIS CONTRACT INCLUDES FOUNDAT+eN-W�K AND HOOKUPS FOR THE <br />ADDITION OF TWO PORTABLE CLASSROOM BUILDINGS, INCLUDING SITE WORK AND ELECTRICAL PROVISIONS. <br />ADDITIONALLY SMALL UPGRADE TO COMPLY W/ACCESSIBILITY REGULATIONS. <br />ASSOCIATED 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-comp,prep, floor) <br />Clothes Dryer <br />Heat Pump&Ductless <br />Dishwasher <br />Sink -Residential (kitchen, bath, bar) <br />Duct System (Remodel) <br />Refrigeration <br />Drinking Fountain <br />Sink -Utility, laundry, mop <br />Exhaust Fans (Residential) <br />Commercial Ventilatior <br />(Not Heat/AC system) <br />Floor Drain <br />Toilet <br />Exhaust Hood (Type 1) <br />Hose Bibb <br />Urinal <br />Exhaust Hood (Type II) <br />Water Heater <br />Interceptor -Grease <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 />Gas Fireplace/Insert/Log <br />I <br />Roof Drains <br />Water Heater <br />SPRINKLER / SUPPRESSION <br />SYSTEM <br />Sewage Ejector or Sump Pump <br />Other: <br />Water Suppression System <br />I <br />INo. of Heads <br />Chemical Suppression System <br />I <br />I No. of Heads <br />ACKNOWLEDGEMENT. l 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 / comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />Owner/Authorized Agent Sicfnature <br />City of Everett Official Use Only <br />PERY <br />94 <br />(Revised 1011012018) <br />012— <br />