1402 SE EVERETT MALL WAY A T AND T 2019-09-05

477 PERMIT APPLICATION■ BUILDING / MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:1402 SE Everett Mall Way PROPERTY TAX#:28051800401800 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: BRIXTON EVERETT LLC TENANT BUSINESS NAME(Commercial): AT&T OWNER MAILING ADDRESS: STREET120 S SIERRA AVENUE cn-Y Solana Beach STATE CA zip 92075 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:CUlbertSOII Sign Service CONTRACTOR ADDRESS: STREET5209 122nd ST E CITY Tacoma STATE WA ZIP 98446 CONTRACTOR PHONE:253-538-0752 CONTRACTOR EMAIL:csspermitS@gmail.COM CONTRACTOR LICENSE#(REQUIRED):CULBESS842N6 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 053695 PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:253-538-0752 Hans Visser CONTACT EMAIL:csspermits@gmail.com BUILDING INFORMATION Existing Use of Building: 599 Other Retail Trade Contract Price of Work:$10,754 Proposed Use of Building: 599 Other Retail Trade Heat Source: OGas ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ZCommercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑✓Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Remove two existing wall signs and install two new internally illuminated wall signs on the tenant's northeast and northwest exterior elevations. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilator Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER ISUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System No.of Heads 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 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 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, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only 1111/1-4 03/21/2018 PERMIT# \ 3 „, ) Owner/Authorized Agent Signature Date (Revised 10/10/2018)