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46-77 • PERMIT APPLICATION. <br /> BUILDING / MECHANICAL/ PLUMBING /SIGN / SPRINKLER / 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:2939 Colby Avenue, 98201 PROPERTY TAX#: Parcel# 00644968301500 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Everett Museum of History TENANT BUSINESS NAME(Commercial): Everett Museum of History <br /> OWNER MAILING ADDRESS: STREET PO Box 5556 <br /> CITY Everett STATE WA ZIP 98206 <br /> OWNER PHONE: N/A OWNER EMAIL:info@everettmuseum.org <br /> CONTRACTOR NAME:D.K. Systems, Inc. <br /> CONTRACTOR ADDRESS: STREET PO Box 886/962 S. Spruce Street <br /> CITY Burlington STATE WA ZIP 98233 <br /> CONTRACTOR PHONE:360-755-1555 CONTRACTOR EMAIL:kevin@dksystemsinc.org <br /> CONTRACTOR LICENSE#(REQUIRED):DKSYSI*982L1 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 049744 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:360-770-7981 <br /> Kevin Korthuis CONTACT EMAIL:kevin@dksystemsinc.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:Museum Contract Price of Work: $ 7 0, 0J0 C e 2190(c trs i b-Mtir) <br /> Proposed Use of Building:Museum Heat Source: Gas Electric ❑Other <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 ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Install (7) RTUs with Ducting, (6) Exhaust Fans and (1) Ductless Split system (too-F--(a, <br /> ASSOCIATED BUILDING PERMIT#(if applicable): N/A <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 Lis'of Fixtures <br /> 7 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 t Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> 7 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 6 Other:Exhaust Fans Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log 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# <br /> Dulce Herrera Date.201902.18112621eoe'00' 02/19/2019 W" Iq 62. - C5 <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br />