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� <br />� <br />� <br />PERMIT APPLICATIO� <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 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits <br />(Blue or Black Ink Onl Ple,�rse) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS:,�..41'S Colby Ave, Everett, WA 98201 PROPERTY TAX #: 00517155100100 <br />LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) See plan cover sheet <br />CONTACT INFORMATION <br />OWNER NAME: �VeYett SChool DiStriCt TENANT NAME (If Commercial): Lvcrett Hi h School <br />OWNER MAILING ADDRESS: srREET 3900 Broadwa <br />CITY : STATE `/`IA ZIP 9g2,O1 <br />OWNER PHONE: 425-385-4000 OWNER EMAIL: <br />CONTRACTOR NAME: Johansen Mechanical, Inc. <br />CONTRACTOR ADDRESS: srREEr 20109 144t11 i�Ve <br />CITY yy QQ(Il]ZVllle STATE `/�IA ZIP 9�Q�2 <br />CONTRACTOR PHONE: 425-481-2266 CONTRACTOR EMAIL: i 1@�ohansenmech.com <br />CONTRACTOR LICENSE #(REQUIRED): OHANMI173PK CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 0242%C <br />PRIMARY CONTACT: ❑ OWNER �1 CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: CONTACT PHONE: 425-481-2266 <br />Ivy LeVangie CONTACT EMAIL: ivyl@�ohansenmech.com <br />BUILDING PERMIT APPLICATION <br />Existing Use of Building: SChOoI AuditoYium Contract Price of Work: $ <br />Proposed Use of Building: Same Heat Source: ❑Gas ❑Electric ❑Other <br />Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-# of Units: �Commercial ❑Industrial <br />Type of Project: ❑New ❑Addition ❑Remodel ❑Repair I�T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br />DESCRIPTION OF WORK: <br />Replace (2) existing Condensing units with (2) new condensing units, Replace (4) existing Cooling coils with (4) new <br />Cooling coils. Replace existing rooftop refrigeration piping with new, Tie units into ductwork. <br />ASSOCIATED BUILDING PERMIT # (if applicable): <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />Type of Project: _New _ Addn X Alteration _Repair Type of Project: _New _Addn _Alteration _Repair <br /># of List of Fixtures #�f List of Fixtures # of List of Fixtures #°f List of Fixtures <br />Fixtures Fixtures Fixtures Fixtures <br />A/C — Air Handling Units Heat Pump Toilet Backflow Preventer (Inside Bldg) <br />Forced Air Systems Unit Heater Bathtub Urinal <br />Gas Piping Boiler Lavatory (Wash Basin) Drinking Fountain <br />Water Heater x Refrigeration Shower Floor Drain <br />Gas Fireplace Wood Stove Kitchen Sink & Disposal Grease Trap <br />Gas Range Ducting Dishwasher Roof Drains <br />Clothes Dryer Hookups 6 Other: Clothes Washer Medical Gas <br />Range Hood 2) Condensin Units Water Heater Other: <br />Exhaust Fan a) Cooling Coils Sink (Service/Bar/Mop/etc.) Other: <br />SPRINKLER / SUPPRESSION SYSTEM <br />Number of Heads <br />ACKNOWLEDGEMENT: l 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 loca/ 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 State Contractors Law 18.27 RCW and 296.200A WAC. <br />C City of Everett Official Use Only <br />G ` ,�. ��-- J � PERMIT � �O�r �^ <br />�o v <br />Owner/Aut rized Agent Signature Dat (Revised 5/20/2016) � <br />� � <br />