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PERMIT APPLICATION <br /> BUILDING /MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION <br /> 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 /> . • > <br /> _ ' <br /> PROJECT SITE ADDRESS: 909 North Broadway Everett,WA 98201 PROPERTY TAX#: 29051700201800 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> �• 6 gv i �� a 3y 3x tttie.,;,;. �� Yf ?. a � � 33 <br /> rr rrtt ua �?�' �- i �� � � p� tit sgr� S �e Z 3��sa�� t s ''�' � S� 13 <br /> raga,,..x 3 �,�".,.�,.... ..a... .Ct• ��.;�... .„ �.......:.:.....Z�mss.a„ �s.;'.z'�.ix.�:, •if ,..Vis'...; ,*.:�.M ,3 3.,�f•. ,Q`tr 1 i�;.1,. <br /> OWNER NAME: Everett Community College TENANT NAME(If Commercial): Everett Community College,AMEC <br /> OWNER MAILING ADDRESS: STREET 2000 Tower St <br /> CITY Everett STATE WA ZIP 98032 <br /> OWNER PHONE: 425-388-9513 OWNER EMAIL: TWATSON@EVERETTCC.EDU <br /> CONTRACTOR NAME: Columbia Fire, INC. <br /> CONTRACTOR ADDRESS: STREET 111 South Findlay Street <br /> CITY Seattle STATE WA ZIP 98108 <br /> CONTRACTOR PHONE: 206-232-8569 CONTRACTOR EMAIL: saulam@columbiafire.net <br /> CONTRACTOR LICENSE#(REQUIRED): COLUMFI952MG CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 048229 <br /> PRIMARY CONTACT: 0 OWNER NJ CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: Sau Lam CONTACT PHONE: 206-232-8569 <br /> CONTACT EMAIL: saulam@columbiafire.net <br /> Existing Use of Building: N/A Contract Price of Work:$ 14,000 <br /> Proposed Use of Building: Paint Booth Heat Source: ❑Gas DElectric DOther <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ODuplex ❑Multi-Family-#of Units: ®Commercial ❑Industrial <br /> Type of Project: ❑New ®Addition ❑Remodel ❑Repair ®T.I. ❑Sign ®Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: NFPA 13-2016,TI, Dry System.Add Sprinkler Heads to New Paint Booth. Total Sprinklers:8 <br /> :1 VNACO o>j ASSOCIATED BUILDING PERMIT#(if applicable): <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 —Refri•eration —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 /> — —Sink(Service/Bar/Mop/etc.)—Other: <br /> , . .;, ) <br /> Ell= or Water a mai No.of Heads <br /> ACKNOWLEDGEME dewed thi•applica,on and confirm the information contained herein is true and correct.Work done pursuant to this permit must comply with <br /> current federal,state,an. . - law. The grant'.of-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 an circumstance.I am the owner,or I 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 /> 2/26/2018 PER ,I # Z D2_ `66 <br /> Owner/Authorized Agent Signature Date (RevisedV <br /> 9 9 <br /> � Z <br />