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IF <br /> PERMIT APPLICATIOP <br /> BUILDINta i MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION <br /> CII Y OF EVERETT PERMl1 SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I 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:7920 EVERGREEN WAY PROPERTY TAX#:28050700306900 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: ARCHLAND PROPERTY I LLC TENANT BUSINESS NAME(Commercial): McDonalds <br /> OWNER MAILING ADDRESS: STREET2711 CENTERVILLE ROAD #400 <br /> CITY WILMINGTON STATE DE Zip 19808 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Mixign Inc dba Shoreline Sign & Awning <br /> CONTRACTOR ADDRESS: STREET 12101 Huckleberry Lane <br /> aTv Arlington STATE WA ZIP 98223 <br /> CONTRACTOR PHONE: 360-435-2013 CONTRACTOR EMAIL:malloryshorellneslgn.cor <br /> CONTRACTOR LICENSE#(REQUIRED): SHORESA981 JW CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 40921 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:360-435-2013 <br /> Mallory Potter CONTACT EMAIL:malloryshorelinesign.com <br /> BUILDING INFORMATION <br /> Existing Use of Building: Restaurant Contract Price of Work: $8000.00 <br /> Proposed 1_Ise of Building' Restaurant Heat Source: ❑Gas DFlectric r_7Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.1. ❑✓Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Install qty(4)freestanding menu signs on new concrete bases. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixture <br /> List of Fixtures Fixture <br /> Count Count List of Fixtures List of Fixtures List of Fixtures <br /> Count Count <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 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/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 /> 7 �,- <br /> ----, <br /> City of Everett Official Use Only <br /> - ' r--(02.-00 (---i <br /> 2/6/19 <br /> Owner/Authorized Agent Signature Date (Revise /10/2018) <br /> 0139 <br /> � <br />