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"7"....r: " <br /> PERMIT APPLICATION <br /> �" BUILDING/MECHANICAL/PLUMBING/SiGN I 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 /> (slaw or Black Inc Only Pls*sw) PROJECT SITE INFORMATION <br /> PROJECT SiTE ADDRESS: 2001 Everett Ave PROPERTY TAX#:00439160800600 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: BOLD LEASING COMPANY LLC-Barbara Johnson TENANT BUSINESS NAME(Commercial): McDonalds <br /> OWNER MAILING ADDRESS: STREET 18017 157TH AVE NE <br /> cnv WOODINVILLE STATE WA zip 98072 <br /> OWNER PHONE: 360-675-5080 OWNER EMAIL:barbara.johnson@partners.mcd.com <br /> CONTRACTOR NAME: Mixign Inc dba Shoreline Sign &Awning <br /> CONTRACTOR ADDRESS: STREET 12101 Huckleberry Lane <br /> GFT,✓ Arlington STATE WA ?ha 98223 <br /> CONTRACTOR PHONE: 360-435-2013 CONTRACTOR EMAIL:mallory@shorelinesign.com <br /> CONTRACTOR UCENSE#(REQUIRED): SHORESA981 J W CiTY OF EVERETT BUSINESS LICENSE#(REQUIRED): 40921 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:360-435-201 3 <br /> Mallory Potter CONTACT EMAIL:mallory@shorelinesign.com <br /> BUILDING INFORMATION <br /> Existing Use of Building: Restaurant Contract Price of Work:;8000.00 <br /> I Proposed Use of Building: Restaurant Heat Source: DGas DElectric DOther <br /> BUILDING USE: DSFR ❑Townhouse ODuplex DADU OMulti-Family-#Units: D✓Commercial DAccessory Structure <br /> Type of Project: ONew DAddition ORemodel ❑Repair OT.I. O✓Sign OSprinkler DDemolition ❑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 Fixture <br /> Count List of Fixtures carne List of Fixtures Count List of Fixtures Count List of Fixtures <br /> NC—Air Handling Units Gas Piping Backtiow Preventer(inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,ftoor) <br /> Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct SLrstem(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilation' 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 GasWater Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof Drains Water Heater <br /> SPRINKLER I SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other <br /> Water Suppression System 1 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.tam the owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and!comply with the State Contractors Law 18.27 RCW and 296,200A WAC. <br /> �J ✓� City of Everett Official Use Onl <br /> o i`o`�i/ i` (/l M/t 41 PERM TS\ 7 0 ON <br /> Owner/Aut . 'zed Agent (/ <br /> ge t Date (Revised t0/1t)/20i8) <br />