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PERMIT APPLICATIOT <br /> BUILDINt MECHANICAL I PLUMBING /SIGN ' mRINKLER/ DEMOLITION <br /> r� 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 Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 909 N Broadway, Everett,WA 98201 PROPERTY TAX#: 29051700201800 <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): Attn:Thom Watson - <br /> OWNER MAILING ADDRESS: STREET 2000 Tower St Facilities Director <br /> ciw Everett STATE Washington ZIP 98201 <br /> OWNER PHONE: 425.388.9513 OWNER EMAIL: twatson@everettcc.edu <br /> CONTRACTOR NAME: 16P A Pc C M 1 e.=e_ f-I l A)C. <br /> CONTRACTOR ADDRESS: STREET pts 13c x 7 3 8 S� <br /> CITY f.LG/.�'(�v STATE u!/ / J ZIP 980 a <br /> CONTRACTOR PHONE: S -76`c '-7 9'• CONTRACTOR EMAIL: O P cE QPee,AA,-- rEC— cap -7 <br /> CONTRACTOR LICE E#REQUIRED): 4 PCOcv17 H CITY OF EVERETT BUSINESS CENSE#(REQUIRED): <br /> PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR [MOTHER(Please Specify) <br /> CONTACT NAME: Jerry Osborn -Architect CONTACT PHONE: 206.920.6348 <br /> CONTACT EMAIL:josborn@oaips.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Educational Contract Price of Work:$ 1 , 1 ' WO 0 <br /> Proposed Use of Building: Educational Heat Source: UGa ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ®Commercial ❑Industrial <br /> Type of Project: ❑New ®Addition ID Remodel El Repair ❑T.I. ID Sign ❑Sprinkler CI Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Adding a paint spray booth to the existing Advanced Manufacturing Training and Education Center <br /> (AMTEC) building. <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 /> #of List of Fixtures #°f List of Fixtures #°f List of Fixtures #°f List of Fixtures <br /> Fixtures Fixtures Fixtures 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 /> SPRINKLER I SUPPRESSION SYSTEM <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.lam the owner,or lam 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 /> Ow rer <br /> 916)44t/ 10, LO- 1,1 P �r <br /> "(c -d 2-T <br /> uthrizzeAgent Signature Date (Revised23/2016) <br /> rif <br />