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• PERMIT APPLICATIOP <br />EVERETT <br />BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />/ON A9r._7g7_AA1n 1 FAX 425-957-8857 I (El everettens0everettwa.gov I www.everettwa.gov/permits <br />WASHINGTON ��-.�..-�...-....,., 1 FAX ._..__. ---- �.—. ------ <br />Blue;or Black Ink°Only Please' PROJECT SITE INF..ORM' 0" <br />PROJECT SITE ADDRESS: 10819 Airport Rd <br />PROPERTY TAX #: 00537900000400 <br />LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br />;CONTpGT INFORMATION . i 77777 <br />OWNER NAME: RRW INVESTMENTS LLC TENANT BUSINESS NAME (Commercial). Greenwood Heating <br />OWNER MAILING ADDRESS: STREET PO BOX 2868 <br />CITY Everett STATE WA zip 98213 <br />OWNER PHONE: <br />OWNER EMAIL: <br />CONTRACTOR NAME: Northwest Sign and Design �} <br />CONTRACTOR ADDRESS: STREET 17201 Beaton Rd SE <br />CITY Monroe STATE WA zip 98272 <br />CONTRACTOR PHONE: (425) 844-6 <br />CONTRACTOR PHONE: (425) 844-�i�� <br />ONTRACTOR EMAIL: permits@nwsigns.com <br />CONTRACTOR LICENSE #(REQUI (D): NWWHOS*929M9 <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 53882 <br />PRIMARY CONTACT: ❑ OWNER OTHER (Please Specify) <br />CONTACT NAME: <br />Jennifer Girard <br />CONTACT PHONE: (425) 844-6415 ext 09 <br />CONTACT EMAIL: permits@nwsigns.c <br />BUILQ.ING;INFQRMATION <br />.: <br />Existing Use of Building: <br />Contract Price of Work: $ 18,600 <br />Proposed Use of Building: <br />Heat Source: ❑ as ❑Ele ❑Other <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: Installation of (2) internally illuminated wall mounted channel letters; remove and replace (2) pylon <br />pylon faces; retrofit pylon with LED lighting <br />ASSOCIATED BUILDING PERMIT # (if applicable): <br />MECHANICAL <br />PERMIT;APRtICATION$, <br />n <br />:' PLt)MBI,NG::PERMIT:'APPLICA710N" <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />A/C —Air Handling Units <br />Gas Piping <br />Backflow Preventer (Inside Bldg) <br />Shower, Tub, or Combo <br />Boiler <br />Gas Range <br />Clothes Washer <br />Sink -Commercial (3-comp, prep, floor) <br />Clothes Dryer <br />Heat Pump&Ductless <br />Dishwasher <br />Sink -Residential (kitchen, bath, bar) <br />Duct System (Remodel) <br />Refrigeration <br />Drinking Fountain <br />Sink -Utility, laundry, mop <br />Exhaust Fans (Residential) <br />Commercial Ventilatior <br />(Not Heat/AC system) <br />Floor Drain <br />Toilet <br />Exhaust Hood (Type 1) <br />Hose Bibb <br />jUrinal <br />Exhaust Hood (Type II) <br />Water Heater <br />Interceptor -Grease <br />Waste/Water Piping Repair <br />Exhaust Hood (Residential) <br />Wood Stove <br />Interceptor-Sand/Oil <br />Water Service (behind meter) <br />Forced Air Systems <br />Other: <br />Medical Gas <br />Water Valves or Fixtures <br />Gas Fireplace/lnsert/Log <br />Roof Drains <br />Water Heater <br />„ ,3PRINKLER" <br />FF,R * 1dN,TSYSTEM <br />„k'',.1'II <br />Sewage Ejector or Sump Pump <br />Other: <br />Water Suppression System <br />No. of Heads <br />Chemical Suppression System <br />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 wirn <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. 1 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 />Jennifer Girard D1g1a1ySgn8dbyJenN/orG1ad <br />Dare: 2020,10.20 08:19:34 -07-00• 10/20/2020 <br />Owner/Authorized Agent Signature Date <br />City of Everett Official Use Only <br />F71T It <br />(Revised 1011012018) <br />6 <br />