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MN <br /> S PERMIT APPLICATIOS <br /> im <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 Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:2416 Colby Ave. Z�dS (���) C PROPERTY TAX#:00517155100100 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION r <br /> OWNER NAME: Everett School District No.2 TENANT BUSINESS NAME(Commercial): V GC 0'J btn.:1(1`:) <br /> OWNER MAILING ADDRESS: STREET3900 Boradway <br /> crry Everett STATE WA ZIP 98201 <br /> OWNER PHONE: (425)-385-4197 OWNER EMAIL:DWalker@EverettSD.org <br /> CONTRACTOR NAME:Not Selected Yet <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: El OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-385-4197 <br /> Darcy Walker CONTACT EMAIL:DWalker@EverettSD.org <br /> BUILDING INFORMATION <br /> Existing Use of Building:681 Nursery,Primary&Secondary School Contract Price of Work: $520,000 <br /> Proposed Use of Building:681 Nursery,Primary&Secondary School Heat Source: OGas DElectric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: (.✓7Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑✓Repair ❑T.I. ❑Sign ❑Sprinkler 111Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Demolition and replacement of hot water boilers and supporting mechanical equipment. <br /> Structural details and calculations stamped by a licensed engineer for bracing or the boiler units as required by <br /> ASCE 7-10 section 13.1.4 will be deferred to the contractor. _ <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION ,� 1___ PLUMBING PERMIT APPLICATION <br /> 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 I 1 Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> 2 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 Ventilahbr= —" Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) Water Heater Interceptor-Grease WasteNVater 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/InserULog Roof 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.'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 State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# n n I o - 0 * <br /> c }-�-\ 2 // <br /> 7 /2 I lv I <br /> Owner/Authorized Ag nt("'gnature / Dat (Revised 10/10/2018) <br />