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PERMIT APPLICATIOI <br /> BUILDIh-- , MECHANICAL / PLUMBING / SIGN i SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 4Z77- 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 2000 Tower Street, EvereU, WA, 98201 PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Everett Community College TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 2000 Tower Street <br /> QTY Everett STATE WA zip 98201 <br /> OWNER PHONE: 425-388-9100 OWNER EMAIL: <br /> CONTRACTOR NAME: Design-Air, LTD <br /> CONTRACTOR ADDRESS: STREET 3051 E Valley Rd <br /> CATV Renton STATE WA zip 98057 <br /> CONTRACTOR PHONE: 253-854-2770 CONTRACTOR EMAIL: c.baldwin@design-air.com <br /> CONTRACTOR LICENSE#(REQUIRED): DESIGL * 212DG I CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 01 31 94 <br /> PRIMARY CONTACT: ❑ OWNER CONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME: Chris Baldwin CONTACT PHONE: 253-854-2770 <br /> CONTACT EMAIL: C.baldwin@design-alr.Com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Education Facility, Contract Price of Work: $ Rr' 00" <br /> Proposed Use of Building:Education Facility- I Heat Source: ❑Gas ❑Electric �JOther Homer%FiecIO is <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: "commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition EAemodel El Repair ❑T.l. ❑Sign ❑Sprinkler ❑Demolition []Change of Use <br /> DESCRIPTION OF WORK: Replace/Repair HVAC System. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): M1601-061 <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair <br /> #of #of #of #of <br /> Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures List of Fixtures <br /> 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 Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove lKitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood 2 Circ Pump Water Heater Other: <br /> Exhaast Fan 1 HVdronic Pit- Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/ SUPPRESSION SYSTEM <br /> Number of Heads <br /> 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 <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 1 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 /> i <br /> PERMIT# <br /> Owner/Authorized Agent Signature Date (Revised 5120120i6) <br /> �1,'/S16'4.S' <br />