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r <br /> PERMIT APPLICATIO <br /> BUILDINOMECHANICAL / PLUMBING / SIGN / RINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:8 92 5 Airport Rd Everett, WA 98204 PROPERTYTAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:Mukilteo School District TENANT NAME(if Commercial): <br /> OWNER MAILING ADDRESS: STREET 8 925 Airport Road <br /> cry Everett STATE WA zip 98204 <br /> OWNER PHONE: 425-356-1330 OWNER EMAIL:StefansonKl@mukilteo .wednet . edu <br /> CONTRACTOR NAME:McKinstry Essention <br /> CONTRACTOR ADDRESS: STREET5005 3rd Ave South <br /> circ Seattle STATE WA zip 98134 <br /> CONTRACTOR PHONE: 206-762-3311 CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): MCK IN E L 8 7 4 CL CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 052236 <br /> PRIMARY CONTACT: ❑ OWNER XCONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-832-8352 <br /> Dave Robinaugh CONTACT EMAIL: davero@mckinstry. com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building:Maintenance Office Contract Price of Work: $ � <br /> Proposed Use of Building: Maintenance Office 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 NRemodel ❑Repair ❑T.I. []Sign ❑Sprinkler ❑Demolition []Change of Use <br /> DESCRIPTION OF WORK:Replace existing HVAC system with new VRF system in the office <br /> areas of the building . Upgrade controls . <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <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 /> 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 Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups 1 Other: VRF Clothes Washer Medical Gas <br /> Range Hood PM <br /> Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/ SUPPRESSION SYSTEM <br /> Number 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./am the owner,or/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 /> PERMIT DI <br /> �l � � 0, <br /> :J- <br /> Ow I uthorize ge f <br /> Signature Date (Revised /20/2016) 1 1 <br /> Z <br />