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PERMIT APPLICATION <br /> #1111111PBUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> I��►'/�''�_ CITY OF EVERETT PERMIT SERVICES <br /> ' y 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: 5505 Evergreen Way PROPERTY TAX#:0039320010090 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Scott&Christie Hensrude TENANT NAME(If Commercial): Enterprise Rent-a-Car <br /> OWNER MAILING ADDRESS: STREET 6130 Maltby Rd <br /> Cm' Woodinville STATE WA ZIP 98102 <br /> OWNER PHONE: (425) 355-9218 'OWNER EMAIL: <br /> CONTRACTOR NAME: Insignia Sign Inc. <br /> CONTRACTOR ADDRESS: STREET PO BOX 2849 <br /> CITY Renton STATE WA ZIP 98056 <br /> CONTRACTOR PHONE: (425) 917-2109 (CONTRACTOR EMAIL: nate@insigniasign.com <br /> CONTRACTOR LICENSE#(REQUIRED): INSIGSIO62QZ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 038029 <br /> PRIMARY CONTACT: ❑OWNER M CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: (425)917-2109 <br /> Nate Cartas @ Insignia Sign Inc. CONTACT EMAIL: nate@insigniasign.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building:Enterprise Rent-a-Car Contract Price of Work:$2,500 <br /> Proposed Use of Building:Enterprise Rent-a-Car Heat Source: OGas DElectric DOther <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: liZICommercial ❑lndustrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ®Sign OSprinkler ❑Demolition OChange of Use <br /> DESCRIPTION OF WORK: <br /> A Remove existing fascia bands(145 SF); install new 3'x15'wall sign cabinet(45 SF). <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <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 List of Fixtures List of Fixtures #of 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 ( INo.of Heads <br /> Ilk 11. <br /> ACKNOWLEDGEMENT:f 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 /> PERMIT <br /> /(late Card (Contractor&Agent) 01/12/19 4S I 0 <br /> 09. <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />