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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS: PROPERTY TAX# 132804-3-033-0004 PERMIT <br /> 9600 Holly Drive Everett 98204 132804-3-034-0006&132804-3-056-0006 b 05-- d O <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) t <br /> Mukilteo School District 425-356-1222 Stefmukilteo.wednet.edu <br /> OWNER Phone/E-mail ansonKl�° <br /> Address 9401 Sharon Drive City/State/Zip Everett,Washington 98204 <br /> APPLICANT: Owner Owner's Agent Contractor x Contractor's Agent Tenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR Williams Scotsman L&I Lic.# WILLISO21LP COE Bus. Lic.# 601 633 046 <br /> Address 16000 Christensen Rd Ste 250 Tukwila Phone/Email (206)246-1623 Kevin.Macy@as.willscot.com <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Challenger Elementary School Dale Klappenbach <br /> Phone/E-mail 206-972-3402 dale klappenbacharchitects.com <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 15r O <br /> Existing Use of Building Educational Building HEAT SOURCE: <br /> Proposed Use of Building Educational Building Gas Electric x Other <br /> Building type: Single Family Duplex Townhouse Multi-Family X Commercial <br /> Type of project: X New Addition Remodel Repair T.I. Sign Sprinkler Demolition Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> Locate a two double modular classrooms(1,848 sf ea)on school site next to existing modular classrooms. ZS I <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New_Addn _Alteration_Repair Type of Project: New_Addn Alteration Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> A/C—air handling units Toilet <br /> Forced air systems Bathtub <br /> Gas piping Lavatory(wash basin) <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hood Water heater <br /> Exhaust fan Sink(service/bar/mop/etc.) <br /> Heat pump Backflow preventer <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> Number of Heads Other: <br /> I hereby certify that I have read and examined this application and know the same to be true and correct.All provisions of laws and ordinances governing this type of work will be complied <br /> with whether specified herein or not.The granting of a permit does not presume to give authority to violate or cancel the provision of any other state or local law regulating construction <br /> That 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 ROW and 296.200A WAC. <br /> \1� <br /> SA/Li. <br /> Owner/Authorized Signature <br /> Agent <br /> g Date (Revised 6/2012) <br />