1723 100TH PL SE CHAMPION REAL ESTATE 2020-02-25

4:77- PERMIT APPLICATICO BUILDINI IECHANICAL/ PLUMBING /SIGN:Ii'RINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:1723 100TH PL SE, SUITE A PROPERTY TAx#:0143628 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: MB SILVER LAKE PROFESSIONAL CENTER TENANT BUSINESS NAME(Commercial): CHAMPIONS Real Estate OWNER MAILING ADDRESS: STREET 1 01 05 149TH ST SE crry SNOHOMISH STATE WA ZIP 98296 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:Fastsigns- Everett CONTRACTOR ADDRESS: STREET2802 Colby Ave CITY Everett STATE WA zip 98201 CONTRACTOR PHONE:425.438.9350 CONTRACTOR EMAIL:Duane.Steig@Fastsigns.Com CONTRACTOR LICENSE#(REQUIRED):CCFASTS**832JK CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 056308 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:Ofc: 425.438.9350 Cell: 360.572.7225 Duane Steig CONTACT EMAIL:Duane.Steig@Fastsigns.com BUILDING INFORMATION Existing Use of Building: 659 Other Professional Services NEC Contract Price of Work:$1,534 Proposed Use of Building: 659 Other Professional Services NEC Heat Source: OGas ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi Family-#Units: ❑✓Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑✓T.I. ❑Sign LiSprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Installing 2 Aluminum Composite (Dibond) non-illuminated Wall Signs 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 A/C—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/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 54", /45/i� P ��k2 -oOB Owner/Authorized Agent Signature Date (Revised 10/10/2018) 'J