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PERMIT APPLICATIO4 <br /> id <br /> � BUILDING�ECHANICAL/ PLUMBING /SIGN -RINKLER/ DEMOLITION <br /> 1� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 l FAX 425-257-8857 1(E)everetteps©everettwa.gov l www.everettwa.gov/permits <br /> (Blue or.Black,Ink Only.Please),,; w, ",. 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 v; <br /> OWNER NAME: Everett Community College TENANT NAME(If Commercial): Attn:Thom Watson- <br /> OWNER MAILING ADDRESS: STREET 2000 Tower St Facilities Director <br /> CITY Everett STATE Washington . ZIP 98201 <br /> OWNER PHONE: 425.388.9513 OWNER EMAIL: twatson@everettcc.edu <br /> CONTRACTOR NAME: 31), AP aCSW ci C.rt ( <br /> / K '�-� _ <br /> CONTRACTOR ADDRESS: STREET ‘9C ) 00 )C 7 5 6 S— <br /> un, (�.L L�LJ 2I STATE W ZIP 9'8 c: g <br /> CONTRACTOR PHONE: 42-c-7- - - - 4Q • r 'CTOR EMAIL: c:TICGC�QqC> <br /> /OCoV - ' .. . i <br /> IRE . , <br /> CONTRACTOR LICENSE#(REQ D):/PC,OjJqT I O J 6 ei CITY OF EVERETT BUSINESS LICENSE (REQUIRED): ) <br /> PRIMARY CONTACT: 0 OWNER NrCONTRACTOR ®OTHER(Please Specify) <br /> CONTACT NAME: Jerry Osborn-Architect CONTACT PHONE: 206.920.6348 <br /> CONTACT EMAIL:josborn@oaips.com <br /> ., 1 ii'=BUILDING PERMIT APPLICATION`' `` ,.'' ''' ,4, #; b'N '"A <br /> Existing Use of Building: Educational Contract Price of Work: "021 `, L 0 7 ( <br /> S <br /> Proposed Use of Building: Educational 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 El Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition OChange 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 #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures 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 Other: Clothes Washer Medical Gas <br /> - <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!am authorized by the owner of this property to perform the work for which application is made, <br /> and/comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> IT# <br /> (�„,�v OD, to`' 1•1 � 0 -' a2—� <br /> Ow er uthdnzed Agent Signature Date (Revised 9/23/2016) I <br /> 1 <br />