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PERMIT APPLICATIOls <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 /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 2605 15th Street, Everett, WA 98201 PROPERTY TAX#: 00386200600001 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Everett Housing Authority TENANT NAME(If Commercial): Sprint <br /> OWNER MAILING ADDRESS: STREET 3107 Colby Ave. <br /> cn-y Everett STATE WA ZIP 98201 <br /> OWNER PHONE: 425-258-9222 OWNER EMAIL: Not available <br /> CONTRACTOR NAME: To be determined at time of issuance P3 TiL- vi'i , <br /> CONTRACTOR ADDRESS: STREET fo 6D)( 521. <br /> cITY WAI-D vte, STATE 04 ZIP 11 pr <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE tt(REQUIRED): CITY OF EVERETT BUSINESS LICENSE NRE UIRED): <br /> PRIMARY CONTACT: DOWNER 0 CONTRACTOR V OTHER(Please Specify) Permit Specialist , <br /> CONTACT NAME: CONTACT PHONE: 253-682-8556 No Re, is-et 11'160 <br /> Meghan Howey, Technology Associates EC Inc. CONTACT EMAIL: meghan.howey@taec.net <br /> BUILDING PERMIT APPLICATION/ <br /> Existing Use of Building:Telecommunications Contract Price of WOrk:$ 25,000 <br /> toN Ott <br /> Proposed Use of Building: Telecommunications Heat Source: OGas OElectric 00ther N/A <br /> Building Type: I:SFR-Detached I:SFR-Attached 0Duplex 0Multi-Family-#of Units\ ,r/jA Commercial Olndustrial <br /> Type of Project: 0New 0Addition 12Remodel ORepair OT.I. OSign OSprinkler _ODe olition OChange of Use <br /> DESCRIPTION OF WORK: <br /> Sprint proposes modifications to an existing unmanned telecommunication facility. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): N/A <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New Addn Alteration Repair Type of Project: New Addn Alteration Repair <br /> #of #of #of #of <br /> List of Fixtures List of Fixtures List of Fixtures 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 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 J 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 /> a I ------ 10.04.18 PERMI <br /> C-( 1 — o>.4 <br /> Owner,AIthorized Agent Signatel- Date (Revised 9/23/2016) <br />