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0 PERMIT APPLICATION • <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: 241j Colby Avenue, Everett, 98201 <br />PROPERTY TAX #: 00517155100100 Parcel # <br />LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: Everett School District #2 TENANT BUSINESS NAME (Commercial): Everett High School <br />OWNER MAILING ADDRESS: STREET 3900 Broadway <br />CITY Everett STATE WA zIR 98201 <br />OWNER PHONE: 360-708-0702 Kelly Gieser, Superintendent <br />OWNER EMAIL: Kelly@tricocompanies.com <br />CONTRACTOR NAME: D.K. Systems, Inc. <br />CONTRACTOR ADDRESS: STREET PO Box 886/ 962 S. Spruce Street <br />CITY Burlington STATE WA ZIP 98233 <br />CONTRACTOR PHONE: 360-755-1555 <br />CONTRACTOR EMAIL: shayes@dksystemsinc.com <br />CONTRACTOR LICENSE #(REQUIRED): DKSYSI*982L1 <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 049744 <br />PRIMARY CONTACT: ❑ OWNER El CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />Dulce Herrera <br />CONTACT PHONE: 360-755-1555 <br />CONTACT EMAIL: dulce@dksystemsinc.com <br />BUILDING INFORMATION <br />Existing Use of Building: Everett High School <br />Contract Price of Work: $ 12,000.00 <br />Proposed Use of Building: Everett High School <br />Heat Source: ❑Gas ❑Electric ❑Other <br />BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family - # Units: ✓❑Commercial ❑Accessory Structure <br />Type of Project: ❑New ❑Addition ✓❑Remodel ❑Repair ❑✓ T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br />DESCRIPTION OF WORK: B Building - Modify existing Ducting for Tenant Improvement. <br />*Please see plans. <br />ASSOCIATED BUILDING PERMIT # (if applicable): B1905-0G6 J <br />MECHANICAL 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 11) <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/InserULog <br />I <br />oof Drains <br />Water Heater <br />SPRINKLER <br />/ SUPPRESSION <br />SYSTEM <br />Sewage Ejector or Sump Pump <br />Other: <br />Water Suppression System <br />No. of Heads <br />Chemical Suppression System <br />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 rarttp/y with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />City of Everett Official Use Only <br />PERMIT # <br />07/02/2019 /1✓' 0 �7 — 6)30 <br />)ate (Revised 1011012018) <br />