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.'OppPERMIT APPLICATI�' <br /> BUILDING) MECHANICAL/ PLUMBING /SIGF / J'RINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> vatiri- <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: 202 Alder St, Everett WA 98203 \) Z PROPERTY TAX#: 29043600405700 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION, " , <br /> OWNER NAME: Everett School District TENANT NAME(If Commercial): Ever School District V (� <br /> OWNER MAILING ADDRESS: STREET 3900 Broadway iQ e C d2I-J. VA <br /> clTr Everett STATE WA ZIP 98201 <br /> OWNER PHONE: (425)385-4195 OWNER EMAIL: jcollins@everettsd.org <br /> CONTRACTOR NAME: \ID <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: <br /> CONTACT EMAIL: <br /> ..;;,„"P'!:'::: ::,:, :77,:,:, . , „ .` , l 1:461N001§1 V1IT APPL"N '101 <br /> Existing Use of Building: Educational:Group E Contract Price of Work: $ <br /> Proposed Use of Building: Educational:Group E 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 ❑Repair ❑T.I. OSign OSprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Two(2)new 896 SF portables P1 and P2,landing,and welcome ramp to be installed approximately 95'north of existing View Ridge Elementary <br /> school building. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> `MECHANICAL PERMIT APPLIO,A "ION ,, PLUMBING PERMITHAPPLIcATION""s <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 /> 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 /> APRINKLER I SUPPRESSION B (STEM <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 /> '''''...o ..e 4 ... / / 0 Mak Z 03 '.-ot4 (4 V-7 <br /> • ner ;ut* • 41 •gent Signature Dat. (Revised 9/23/2016) <br />