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OLTPERMIT APPLICATION <br /> BUILDING I MECHANICAL/ PLUMBING / SIGN I SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:905 Wetmore Avenue, Everett, 98201 PROPERTY TAX#: Parcel# <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: State of Washington-Department of Enterprise Services TENANT BUSINESS NAME(Commercial): Everettcommun,tycolege-Nippon Business Institute <br /> OWNER MAILING ADDRESS: STREET 1500 Jefferson Street <br /> ciTn Olympia STATE WA Zip 98504 <br /> OWNER PHONE: 360-701-9545 Susan Smith, PE OWNER EMAIL:susan.smith@des.wa.gov <br /> CONTRACTOR NAME:D.K. Systems, Inc. <br /> CONTRACTOR ADDRESS: STREET PO Box 886/962 S. Spruce Street <br /> cITY Burlington STATE WA Zip 98233 <br /> CONTRACTOR PHONE:360-755-1555 CONTRACTOR EMAIL:shayes@dksystemsinc.com <br /> CONTRACTOR LICENSE#(REQUIRED):DKSYSI*982L1 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 049744 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:360-391-5338 _ _ <br /> Steve Hayes CONTACT EMAIL:shayes@¢ksysternsigc.O <br /> BUILDING INFORMATI i <br /> Existing Use of Building:Everett Community College Contract Price ork: $55,000.00 <br /> Proposed Use of Building:EvCC Nippon Business Institute Heat Source' ❑Gas ❑Electric.°❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-# its: ❑✓Cgrtnercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑✓Remodel ❑Repair T.I.O ❑Sign -"' Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: 1. Replace (2) Split Heat Pump systems 2. Install (2) Mixing Boxes, and Duct through roof. <br /> 3. Install (2) Curbs and Hoods for fresh air. <br /> 4. Replace existing Refrigeration Lines, connected to current Heat Pump systems (HP-1A, and HP-16 X 2) <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures <br /> 2.- -A1C— Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> •Clothes Dryer P-- .,:Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> v2 Duct System(Remodel) .d.,'- igeration Drinking Fountain Sink-Utility, laundry,mop <br /> aExhaust Fans(Residential) Commercial Ventilatior Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof Drains Water Heater <br /> SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System 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.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 /> MPER—_ 03/18/2019çL1I,/loI <br /> /Authorized AgenSiignature Date (Revised 10/10/2018) <br />