1615 75TH ST SW ITT TECHNICAL INSTITUTE 2016-11-15

` PERMIT APPLICATION� BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS: PROPERTY TAX #: 1615 75th St. SW LEGAL for new construction: Short PlaUsubdivision N/A Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Sabe Cor oration TENANT NAME (If Commerciaq: ITT Technical Institute OWNER MAILING ADDRESS: srReeT 12201 Tukwila International Blvd. 4th Floor c�TM Seattle STATE Wq ziP yg16g OWNER PHONE: 206-282-9596 OWNER EMAIL: CONTRACTOR NAME: Commercial Industrial Roofin , Inc. CONTRACTOR ADDRESS: srReeT 3601 121s1 SW cirr L nnwood STATE WA zia 98�87 CONTRACTOR PHONE: 425-423-0900 CONTRACTOR EMAIL: ared@cir-roofin .com CONTRACTOR LICENSE #(REQUIRED): COMMEI`205JJ CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): O29OSH PRIMARY CONTACT: ❑ OWNER � CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: 425-218-6612 Jared Davidson CONTACT EMAIL: Above BUILDING PERMIT APPLICATION Existing Use of Building: Varies Contract Price of Work: $ 250,000 Proposed Use of Building: N/A Heat Source: ❑Gas �Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family� of Units: C�Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair �T.I. �Si n ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Kemoval of exisling roof syslem and inslallalion of new lightweighl high density cover board and PVC roof inembrane. Associated Ilashings also. ASSOCIATED BUILDING PERMIT #(if a licable): PLUMBING PERMIT APPLICATION Type of Project: _New Addn Alteration Repair # of List of Fixtures #�f List of Fixtures Fixtures Fixtures Toilet Backflow Preventer (Inside Bldg) Bathtub Urinal Lavatory (Wash Basin) Drinking Fountain Shower Floor Drain Kitchen Sink & Disposal Grease Trap Dishwasher Roof Drains Clothes Washer Medical Gas Water Heater Other: Sink (Service/Bar/Mop/etc.) Other: 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 current federal, state, and local law. The granting of a permrt only authorizes approved work and no deviations therefrom. Deviations must first be authorized in writrng from the Building Officral before bein authorized u any circ rostance. 1 am the owner, or l am authorized by the owner of this propeKy to pertorm the work for which applrcation is made, and I comply with t tate ontrac 18.27 R d 296.200A WAC. � City of Everett Official Use Only PERMIT � ,� ` � _ n��— Owner/Xuthorized Agent Signature Dat (Revised 10/12/20i5)