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4177- PERMIT APPLICATION <br /> BUILDING ECHANICAL / PLUMBING / SIGN ,. 'RINKLER/ 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 /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: Parks Hall, 2000 Tower St, 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 S <br /> OWNER NAME: Thom Watson, Everett Community College TENANT NAME(If Commercial): �S � <br /> OWNER MAILING ADDRESS: STREET 2000 Tower St [. I <br /> clrr Everett STATE WA ZIP 98201 <br /> OWNER PHONE: 425.388.9513 OWNER EMAIL: twatson@everettcc.edu <br /> CONTRACTOR NAME: TBD V)k mil.— L:.QJ(\'t-c f}L-- f 'tvS -A.X e-ft..1cA -S U--..: <br /> CONTRACTOR ADDRESS: STREET 2 7 y k). C ? 2 . Ai 0- ✓" <br /> CITY S ,"j :Q Cr-LI'-% STATE L�4 ZIP 9 S' i.j j <br /> CONTRACTOR PHONE: 2 C% U 7 ? (c C ,t 7 CONTRACTOR EMAIL: 5-1--7 s.:t' r N cj. /(/ h,T e . b. 1 !� <br /> CONTRACTOR LICENSE#(REQUIRED): A L 4 5'pfi j 3 13€ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR ® OTHER(Please Specify) Architect ,i. CA)2. L-iiJ(J 166 <br /> CONTACT NAME: Jerry Osborn CONTACT PHONE: 206.631.8442 x 2607 <br /> CONTACT EMAIL:josborn@oaips, <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Commercial Contract Price of Work: 137,048 <br /> Proposed Use of Building: Commercial Heat Source: I%IGas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ODuplex ❑Multi-Family-#of Units: ®_Commercial ❑Industrial <br /> Type of Project: ONew ❑Addition ®Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Renovating the existing security office at Everett Community College. <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 #°f 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 /> - <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 /> SPRINKLER/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.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 /> P MIT "' i <br /> /• 2-IA kill� ( �- 62.E I2 <br /> Own= thori d Agent Signature Date (Revised 9/23/2016) <br />