Laserfiche WebLink
MIN <br /> • PERMIT APPLICATIO• <br /> LIM <br /> BUILDING/ MECHANICAL I 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 l(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> MINI Or Black Ink Only Please)... PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:241eColby Ave. 2k-05 La%) / t, PROPERTY TAX#:00517155100100 <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 No.2 TENANT BUSINESS NAME(Commercial): \ 6C o"041 fbtA;111 <br /> OWNER MAILING ADDRESS: STREET3900 Boradway <br /> crrr 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: 0 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: IZIGas ❑Electric ❑Other- <br /> BUILDING USE: ❑SFR ❑Townhouse ODuplex DADU ❑Multi-Family-#Units: OCommerciai ❑Accessory Structure <br /> Type of Project: [New ❑Addition ❑Remodel ✓❑Repair ❑T.I. ❑Sign OSprinkler ©Demolition ❑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 /> v ,m—,.—k <br /> MECHANICAL PERMIT APPLICATION;, PLUMBING.PERMIT PPLICATION, <br /> Cou re xture <br /> List of Fixtures count List of Fix •res Count `st of Fixtures Ciount List of Fixtures <br /> •1- —Air Handling Units Gas Pi!' • 1 Backflow •reventer(Inside Bldg) Shower,Tub,or Combo <br /> 2 Boiler Ga 'ange Clothes , asher Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dry 'eat Pump&Ductl ss Dish -sher Sink-Residential(kitchen,bath,bar) <br /> Duct System(R--.ode!) Refrigeration P king Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Resi. •ial Commercial Ventilate• Floor Drain Toilet <br /> Exhaust Hood(Type I (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(T --II) Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Ho.• -esidential) a ood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced ystems Oth- . Medical Gas Water Valves or Fixtures <br /> Gas eplace/Insert/Log Roof Drains Water Heater <br /> O. INKLER.I SUPPRESSION.SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water S ..pression System No.of Heads <br /> Chemical Suppression System I 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.lam the owner,or lam 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 /> 10 - <br /> 2//J/7 Zl PERMIT# y�103' 615 <br /> Owner/Authorized nt ' nature / Da (Revised 10/10/2018) <br /> A g <br />