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NMI <br /> • PERMIT APPLICATION• <br /> MI <br /> BUILDING / MECHANICAL / PLUMBING / SIGN /SPRINKLER/ DEMOLITION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:505 SE Everett Mall Way Ste 7 Everett, WA 982 PROPERTY TAX#:28051800304800 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: iDoctor Cell Phone and Tablet Repair LLC TENANT BUSINESS NAME(Commercial): dba UBREAKIFIX <br /> OWNER MAILING ADDRESS: STREET2606 116th Dr NE <br /> cny Lake Stevens STATE WA ZIP 98258 <br /> OWNER PHONE: 4254184891 OWNER EMAIL: g.mcloughlin@ubreakifix.com <br /> CONTRACTOR NAME:Accurate Install & Design <br /> CONTRACTOR ADDRESS: STREET 6905 1/2 Broadway <br /> my Everett STATE WA ZIP 98203 <br /> CONTRACTOR PHONE:(425)418-4891 CONTRACTOR EMAIL: g.mcloughlin@ubreakifix.com <br /> CONTRACTOR LICENSE#(REQUIRED):ACCURID809LJ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 53433 <br /> PRIMARY CONTACT: El OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:(425)418-4891 <br /> Glenn McLoughlin CONTACT EMAIL: g.mcloughlin@ubreakifix.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:Retail Cell Phone Sales Contract Price of Wo :$5400.00 <br /> Proposed Use of Building:Retail CellPhone Repair&Accessory s; Heat Source: DGas nc ❑Other_ <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: DCommercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. OSign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Install two exterior UBREAKIFIX illuminated wall signs per the attached rendering and <br /> engineering documentation <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 /> 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 I 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,an !o I 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 eing uthorized 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!comply with the a ntractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> �J{^ �- f PERMIT <br /> ,�J S ^�t�G Crir4 �- W OD <br /> �1 '�-"—�'�"''� 06/23/2020 'l>J <br /> Owner uthorized Agent Signature Date (Revised 10/10/2018) <br />