3201 SMITH AVE BEZOS ACADEMY 2024-08-07

LEA PL.BING PERMIT APPLICATTN CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS: Drop off hard copy completed paper application to 3200 Cedar Street 2nd Floor Intake Drop Box. WASHINGTON CONTACT INFORMATION: (P)425-257-8810 I (E)PermitServices@everettwa.gov I (W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 3201 Smith Ave PARCEL#: 00439074401300 cln. Everett STATE WA ZIP 98201 SUITE/UNIT#: FLOOR#: Ground ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential):Bezos Academy Everett Transit Station CONTACT INFORMATION OWNER NAME:City of Everett OWNER MAILING ADDRESS: STREET 2930 Wetmore Avenue, Suite 10A cITY Everett STATE WA ZIP 98201 OWNER PHONE:425-257-8700 OWNER EMAIL: CONTRACTOR COMPANY NAME: (.i-c WA STATE CONTRACTOR LICENSE#(REQUIRED NrTY OF EVERETT BUSINESS LICENSE#(REQUIRED):3 CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: E OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) 8a55B"INchltact8 CONTACT NAME: CONTACT PHONE:206-340-9500 Stephanie Tung CONTACT EMAIL:stung@bassettiarch.com PLUMBING PERMIT INFORMATION VALUATION OF WORK: $42,603 ASSOCIATED PERMIT#(if applicable): (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) BUILDING TYPE: ❑SFR El Townhouse ❑Duplex ❑ADU Multi-Family-#Units: ❑✓Commercial Accessory Structure DESCRIPTION OF WORK:Tenant improvement work to provide A 3-classroom preschool on the ground floor of the transit building. The current use of the building is for 421 bus transportation. PLUMBING PERMIT FIXTURE COUNT (SCOPE OF WORK) Fixture Fixture Count List of Fixtures Count List of Fixtures (QtY) (QtY) _ Backflow Prevention Device(Inside Building)-select devices below: Shower,Tub,or Combo Fire Service: ❑DCDA, Domestic Service: ❑RPBA❑DCVA 2 Commercial Sink(3-compartment,prep,floor) Clothes Washer 9 Residential Sink(kitchen,bath,bar) Dishwasher i Utility Sink(laundry,mop) Drinking Fountain 5 Toilet 4 Floor Drain Urinal _ Hose Bibb Waste/Water Pipe Repair Ice Maker Water Service Line(Behind meter,private side) Grease Interceptor Water Valves/Fixtures Sand/Oil Interceptor Water Heater-Electric Medical Gas Water Heater-Gas Roof Drains Other(List Type): Sewage Ejector Pump/Sump Pump Other(List Type): 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 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 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, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only Stephanie Tung Date: 2022.05.12 5/12/2022 PERMIT# LC, �'� 16:18:05-07 00 Owner/Authorized Agent Signature Date (Revised 4/21/2022) E f`