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MINI PERMIT APPLICATION <br /> BUILDING / MECHANICAL/ PLUMBING /SIGN /SPRINKLER / DEMOLITION <br /> E V E R E T TCITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:305 SE Everett Mall Way, Suite 14 PROPERTY TAX#:28051800304300 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Greentree Plaza LLC c/o ACF Property Management, Inc TENANT BUSINESS NAME(Commercial): Signarama <br /> OWNER MAILING ADDRESS: STREET 12411 Ventura Blvd <br /> c,TY Studio City STATE CA Z,P 91604 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME:Crown Fire Protection, INC <br /> CONTRACTOR ADDRESS: STREET PO BOX 12113 <br /> Cr, Mill Creek STATE WA zip 98082 <br /> CONTRACTOR PHONE:(425)481-7669 CONTRACTOR EMAIL:cristie@crownfp.com <br /> CONTRACTOR LICENSE#(REQUIRED):CROWNFP044LL CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 031397 <br /> PRIMARY CONTACT: ❑OWNER ID CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:(425)481-7669 <br /> Cristie Ogland CONTACT EMAIL:cristie@crownfp.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:Retail Contract Price of Work: $950 <br /> Proposed Use of Building:Retail Heat Source: OGas ❑Electric DOther , <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑✓Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Relocate 7 fire sprinkler heads for a tenant improvement and plug 1 <br /> ASSOCIATED BUILDING PERMIT#(if applicable): 81910-041 <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures <br /> NC—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 /, ti No.of Heads <br /> Chemical Suppression System No.of Heads <br /> ACKNOWLEDGEMENT:1 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. T h bran g 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 1 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 /> (4Ji1 <br /> r/ thorized AgeigOnat) 12/11/19 <br /> Date PERMIT ` <br /> co <br /> Revised <br /> 10/10/2018) <br /> -> <br />