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II II ''II PERMIT APPLICATION` <br /> ielziob -, <br /> BUILDING'7�IECHANICAL/ PLUMBING I <br /> SIGI�'SbRINKLER/ DEMOLITION <br /> 101111111-., <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 InkenlyPlease) ',,,,,_< ''„PROJECT SITE INFORMA #ON, -, , , <br /> PROJECT SITE ADDRESS: 916 Oakes Ave,Everett WA 98201 PROPERTY TAX#: 29051700201900 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> ..,;: ' .„:, ., . . ..CQNTAST NFORMATION , , ., <br /> OWNER NAME: Everett School District TENANT NAME(If Commercial): Everett School District <br /> OWNER MAILING ADDRESS: STREET 3900 Broadway <br /> err( Everett STATE WA ZIP 98201 <br /> OWNER PHONE: (425)385-4195 OWNER EMAIL: jcollins@everettsd.org <br /> CONTRACTOR NAME: <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: <br /> CONTACT EMAIL: <br /> . BUILD ? ##MI 04 ` <br /> Existing Use of Building: Educational:Group E Contract Price of Work:$ Pi 000, <br /> Proposed Use of Building: Educational:Group E 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 CIT.!. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> One(1)new 896 SF portables P3,landing,and welcome ramp to be installed 5'east of existing Whittier Elementary school portables. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> 003.0AN1CAL;PERIT,APPLICATION,.,;; :., , s PLUMBING PERIVr1T APPU ATIOI(1 U,k, <br /> Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair <br /> Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures <br /> NC—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 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 Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> sJRIN,Kt:ER i SUPPRESSION SYSTEM.w: <br /> Chemical or Water 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.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 /> /1PERZ in <br /> • ner uY =d =nt Signature Dat (Revised 9/23/2016) NW <br />