830 80TH ST SW PCE PACIFIC 2020-02-25

NMI 11.11 PERMIT APPLICATION BUILDING/ MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION E V E R E T TCITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 i FAX 425-257-8857 1(E)everetteps@everettwa.gov www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:830 80th St SW Everett, WA 98203 PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) I. CONTACT INFORMATION OWNER NAME: Joan Carlson TENANT BUSINESS NAME(Commercial): PCE Pacific OWNER MAILING ADDRESS: STREET 830 80th St SW crm' Everett STATE WA zip 98203 OWNER PHONE: 4252101877 OWNER EMAIL:joan.carlson@pcepacific.com CONTRACTOR NAME Nnrthwacf sigia-&- igra. t\,)k,3 CONTRACTOR ADDRESS: STREET 17201 Beaton RD. SE CITY Monroe STATE WA zip 98272 CONTRACTOR PHONE:4258446415 CONTRACTOR EMAIL:jason@nwsigns.com CONTRACTOR LICENSE#(REQUIRED):NWWHOS*929M9 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 53882 PRIMARY CONTACT: 0 OWNER D CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:4258446415 Jason Taisey CONTACT EMAIL:jason@nwsigns.com BUILDING INFORMATION Existing Use of Building:Office Contract Price of Work:$2965.00 Proposed Use of Building:Office Heat Source: ❑Gas DElectric ❑Other BUILDING USE: ❑SFR ❑Townhouse ElDuplex ❑ADU ❑Multi-Family-#Units: ECommercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑✓Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Remove existing wall sign and install new wall sign 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 NC—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 Ventilatior 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 I SUPPRESSION.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 PERMI 2 caner Authorize. •gent Signature Date (Revised 10/10/2018)