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0 PERMIT APPLICATION • <br /> 12 <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 Pismo) PROJECT SITE I -• - TION <br /> PROJECT SITE ADDRESS: Everett Community College,2000 Tower Stree Rainier Hall PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision . o. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Richard Radcliff ��� TENANT BUSINESS NAME(Commercial): y,�' LL <br /> OWNER MAILING ADDRESS: sTRE 2000 Tower Street <br /> cm( Everett STATE WA ZIP 98201 <br /> OWNER PHONE:425 388 9 OWNER EMAIL:rradcliff@everettcc.edu <br /> CONTRACTOR NAME: <br /> CONTRACTOR ADDRESS: STREET <br /> cm STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> ,CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206 920 6348 <br /> Jerry Osborn CONTACT EMAIL:joSbOrn@oaip _ <br /> BUILDING INPORMATI ~ <br /> Existing Use of Building: Classrooms Contract Pri o Work:$250,000 <br /> Proposed Use of Building: Classrooms Heat Sou e: OGas ❑Electric ❑ er <br /> BUILDING USE: ❑SFR Townhouse EDuplex ❑ADU EMulti-Family- nits: Zetirm al ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ( model ❑Repair ❑T.l. ❑Sign emolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Modify Toilet Rooms on Floors 1, 2, 3. Make toilet rooms ADA compliant. *' <br /> r� t Sa <br /> e c r'eon, <br /> ASSOCIATED BUILDING PERMIT#(if applicable) ���C ��'�,�''� j <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT PLICA ©►-ON <br /> Fixture Flxture Fixture Fixtu <br /> Count List of Fixtures Count List of Fixtures Count List of Fixtures Coun List of Fixtures <br /> A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) shower,Tub,or Co <br /> Boiler as Range Clothes Washer ink-Co la!(3-comp,prep,floor) <br /> Clothes Dryer eat Pump&Duc s Dishwasher - esidential(kitchen,bath,bar) <br /> Duct System(Remodel) frigerati. 1 Drinking Foun Sink-Utility,laundry,mop <br /> Exhaust Fans(Residents Co -rcial Ventilation Floor Drain 12 Toilet <br /> Exhaust Hood( I ,ot Heat/AC system) Hose Bibb 3 Urinal <br /> Exhaust Hood(Ty II Water Heater Interceptor-Gr e Waste/Water Piping Repair <br /> Exhaust Hood(Resi ntial Wood Stove Intercept and/Oil Water Service(behind meter) <br /> Forced Air Systems Other: Medi Gas Water Valves or Fixtures <br /> Gas Fireplace/In - /Log of Drains Water Heater <br /> SPRINKL- /SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppressi.• ystem I 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 Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> I'' 25- 2.3 ti,CY") -. - 0 C2)q <br /> Owner/Authoriz gent Sin re Date (Revised 10/10/2018) <br />