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477PERMIT APPLICATION <br /> BUILDING / MECHANICAL/ PLUMBING /SIGN /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 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 1715 100TH PL SE SUITE B EVERETT WA 98208 PROPERTY TAX#:00659600000701 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: BOY SCOUTS OF AMER-MT BAKER COUNCIL TENANT BUSINESS NAME(Commercial): BOY SCOUTS oF AMERICA-MT BAKER COUNCIL <br /> OWNER MAILING ADDRESS: STREET 1715 100TH PL SE SUITE B <br /> Dry Everett STATE WA ZIP 98208 <br /> OWNER PHONE: 2064654173 OWNER EMAIL:NOBLEBSA@YAHOO.COM <br /> CONTRACTOR NAME:FASTSIGNS EVERETT <br /> CONTRACTOR ADDRESS: sTREET2802 COLBY AVE <br /> cm, EVERETT STATE WA ZIP 98201 <br /> CONTRACTOR PHONE:425.438.9350 CONTRACTOR EMAIL: ALICIA.KNABE@FASTSIGNS.COM <br /> CONTRACTOR LICENSE#(REQUIRED):CCFASTS""832JK CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 056308 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:Ofc:425.438.9350 <br /> ALICIA KNABE CONTACT EMAIL:ALICIA.KNABE@OUTLOOK.COM <br /> BUILDING INFORMATION <br /> Existing Use of Building: 6 V 9 , IS'C, SWC Contract Price of Work:$ tqiC, / OS <br /> Proposed Use of Building: C...:,c) •M 15C SVC Y Heat Source: ❑Gas DElectric DOther <br /> BUILDING USE: DSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: lCommercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.l. ❑✓Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: EXTERIOR ALUMINUM COMPOSITE SIGN FOR FRONT ENTRANCE OF BUILDING WITH INSTALL <br /> .*A.Icitt /4-441M/4/k' <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <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 /> A/C–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 /> b. <br /> Duct System(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 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 No.of Heads <br /> Chemical Suppression System 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. 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 /> J i(� 1Le.. % `� '+ U"�__ o j�; l �(J PERMIT# A L/L� <br /> (Q/wneY/Authorized A ent Signature Date (Rev–��v /2(01188)`/l — <br />