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grr PERMIT APPLICATIO <br /> BUILDIN_-CHANICAL/ PLUMBING /SIGN �RINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVI <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:510 SW Everett Mall Way PROPERTY TAX#:2857956 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Orion Alliance Group, LLC: Mr. Kirk Wong TENANT BUSINESS NAME(Commercial): Judd & Black Appliance <br /> OWNER MAILING ADDRESS: STREET2401 San Pablo Avenue, Suite 215 <br /> cmy Pinole STATE CA ZIP 94564 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME:Fastsigns- Everett <br /> CONTRACTOR ADDRESS: STREET 2802 Colby Ave <br /> CITY Everett STATE WA Zip 98201 <br /> CONTRACTOR PHONE:425.438.9350 CONTRACTOR EMAIL:Dunae.Steig@Fastsigns.com <br /> CONTRACTOR LICENSE#(REQUIRED):CCFASTS**832JK CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 056308 <br /> PRIMARY CONTACT: 0 OWNER El CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:Ofc:425.438.9350 Cell: 360.572.7225 <br /> Duane Steig CONTACT EMAIL:Duane.Steig@Fastsigns.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:Retail Contract Price of Work:$22,717.00 <br /> Proposed Use of Building:Retail Heat Source: OGas ❑Electric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑✓T.I. ❑Sign LiSprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Install Electrical Lit Channel Letters mounted on raceways to existing sign circuit to front of building <br /> facade. Also refacing the double-sided freestanding lit sign in driveway. <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 /> A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust 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.lam 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 /> Cityoof Everrett Official <br /> Use Only <br /> G iL- r 1/2 / 7PER k. ` 0 ` `�`� 8 <br /> Owner/Auth ' Agent Signature Date (Revised 10/10/2018) <br /> CiLz) <br />