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471Err BUILDINGOECHANICAL I PLUMBINGPERMITAPPLIC <br /> I SIGN RINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES - <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (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 Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:Everpark Garage isci: Hoyt Ave, Everett PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: City of Everett TENANT BUSINESS NAME(Commercial): Everpark Garage <br /> OWNER• MAILING ADDRESS: STREET 2930 Wetmore Ave., 9E <br /> dITY Everett STATE WA zip 98201 <br /> OWNER PHONE:425-257-8896/6293 OWNER EMAIL:rSanchez@everettWa.gov <br /> CONTRACTOR NAME: T. k Y\b"1/4,- <br /> CONTRACTOR ADDRESS: STREET 1,tA.%__o__s_2ka.LLSA--- <br /> CITY 1` STATE LA-- ZIP �,�� <br /> CONTRACTOR PHONE: ZS 3 SL( I 0 CONTRACTOR EMAIL:t) U . Q1r %. 001Lizotsk3 49 <br /> CONTRACTOR LICENSE#(REQUIRED): - 2O 111 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):..e , <br /> PRIMARY CONTACT: ❑OWNER ❑ CONTRACTOR 0 OTHER(Please Specify) 5 (OQO <br /> CONTACT NAME: CONTACT PHONE:425-257-8896/6293 <br /> Ruben Sanchez CONTACT EMAIL:rsanchez@everettwa.gov <br /> BUILDING INJORMATION Existing Use of Building:Parking Garage cpntr 111 <br /> rrPrice-of Work:$ \ �(P2, q 1'G DO <br /> Proposed Use of Building:Parking Garage Heat Source: ❑Gas ❑EI ctric ❑O)er <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 ElDemolition ❑Change of Use <br /> DESCRIPTION OF WORK: Repair of damaged concrete slab and corroded rebar reinforcing locations, repair of damaged beam <br /> flange and corroded rebar reinforcing locations, restoration and supplement of various beam and panel connections, repair <br /> & supplement of cracked beam & column locations, replacement of existing roof membrane, and install roof drains. <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 /> 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,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 Waste/Water 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 oof Drains Water Heater <br /> SPRINKLER /SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System No.of Heads <br /> ACKNOWLEDGEMENT:1 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 1 am authorized by the owner of this property to perform the work for which application is made, <br /> and 1 omply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> P UIT# <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br /> IZ <br />