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• PERMIT APPLICATION • <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER I 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 /> (Bkw or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:2215 Pine Street PROPERTY TAX#:00515746600000 <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 TENANT BUSINESS NAME(Commercial): Garfield Elementary School <br /> OWNER MAILING ADDRESS: sTREET4730 COLBY AVE <br /> crry Everett STATE WA ZIP 98208 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME:Crown Fire Protection, INC <br /> CONTRACTOR ADDRESS: STREET PO BOX 12113 <br /> CITY Mill Creek STATE WA ZIP 98082 <br /> CONTRACTOR PHONE:(425)481-7669 CONTRACTOR EMAIL:Cristie@crownfp.COm <br /> CONTRACTOR UCENSE#(REQUIRED):CROWNFP044LL CITY OF EVERETT BUSINESS UCENSE#(REQUIRED): 031397 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:(425)481-7669 <br /> Cristie Ogland CONTACT EMAIL:cristie@crownfp.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:School Contract Price of Work:$1,000 <br /> Proposed Use of Building:School Heat Source: ❑Gas ❑Electric ❑Other <br /> BUILDING USE: ❑SFR OTownhouse ❑Duplex DADU []Multi-Family-#Units: ❑Commercial ['Accessory Structure <br /> Type of Project: [New ❑Addition ❑Remodel ❑Repair DT.I. []Sign OSprinkler ❑Demolition OChange of Use <br /> DESCRIPTION OF WORK: Relocate 1 Quick Response fire sprinkler heads for a tenant improvement <br /> ASSOCIATED BUILDING PERMIT#(if applicable): Vd( l Q - c©s <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Facture Fixture Fixture <br /> Count List of Fixtures fount List of Fixtures Count List of Fixtures Count List of Fixtures <br /> A/C-Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,tloor) <br /> Clothes Dryer Heat Pump&Ducliess 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 Ai Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/insertL•, Roof Drains Water Heater <br /> SPRINKLER/S RESSION SYSTEM Sewage Ejector or Sump Pump Other. <br /> Water Suppression System I 1 No.of Heads <br /> Chemical Suppression System No.of Heads <br /> ACKNOWLEDGEMENT:l have review •this a.. lion 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' -IL:l. 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.lam the owner,or am authorized by the owner of this properly to perform the work for which application is made, <br /> and/comply with the State Contractors Law 18.27 ROW and 296.200A WAC <br /> City of Everett Official Use Only <br /> PERMIT# <br /> 0 -,711 720,,11? S9O`i-cit, <br /> OwnertAgent S ee (Revised 10110/2018) <br />