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PERMIT APPLICATIOmi, <br /> i#11//;44S:;:":4 <br /> BUILDINk..IIIIECHANICAL/ PLUMBING /SIGNWIWbRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION 00517155100100 <br /> PROJECT SITE ADDRESS: 2416 Colby Avenue, Everett, WA 98201 PROPERTY TAx#: 00439156400000 <br /> 00439154900200 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Everett Public Schools (Steven Krause, Construction Manager) <br /> OWNER MAILING ADDRESS: STREET 3900 Broadway <br /> crry Everett STATE WA ziP 98201 <br /> OWNER PHONE: (425)385-4196 OWNER EMAIL: skrause@everettsd.org <br /> CONTRACTOR NAME: Vigr �- <br /> 3—o6k,WSe <br /> CONTRACTOR ADDRESS: STREET U L jr ( `f�(f��,`1����� �/��/�j.� <br /> CITY 1---‘11._ <br /> �J 1 _\J\ —at\.f �.J`�,k1W GL.y E l� ""r�1 • V�JY_�"� <br /> CONTRACTOR PHONE: V CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): ;506kki\DI A:;s:t k 3' LerfALLY OF EVERETT BUSINESS LICENSE#(REQUIRE : 02_42, <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR X OTHER(Please Specify) Architect <br /> CONTACT NAME: CONTACT PHONE: (206)624-4222 <br /> Rolluda Architects (Paul Dorn, Project Architect) <br /> 105 S. Main Street, Suite 323, Seattle, WA 98104 CONTACT EMAIL: Paul@rolludaarchitects.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Education Contract Price of Work: $ 900,000 <br /> Proposed Use of Building: Education (no change) Heat Source: X Gas 0 Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: X Commercial ❑Industrial <br /> Type of Project: CI New DAddition El Remodel X Repair ❑T.I. ❑Sign El Sprinkler El Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> HVAC upgrades include, but not limited to, replacement of existing DDC system, 2 rooftop VAV Air Handlers, <br /> and balancing of the entire HVAC system. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New _ Addn _Alteration X 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 /> 2 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 /> 1 Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> Chemical or Water I No.of Heads <br /> ACKNOWLEDGEMENT:l 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 /> n C ID* City of Everett Official Use Only <br /> cl41 PERMIT# i� <br /> 03/30/2018 M,(50 0(0 C <br /> Own r/Authorized Agent Signature Date (Revised 9/23/2016) <br />