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• PERMIT APPLICATION. <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 Ploaso) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:1510 SE Everett Mall Way PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Joon Chang TENANT BUSINESS NAME(Commercial): Super Supplements <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME:BB&T Sign Services <br /> CONTRACTOR ADDRESS: STREET 16212 Bothell-Everett Hwy F239 <br /> CITY Mill Creek STATE WA ZIP 98012 <br /> CONTRACTOR PHONE:425.330.8160 CONTRACTOR EMAIL:bbtSlgnS@ITISn.COm <br /> CONTRACTOR LICENSE#(REQUIRED):BBTSIS*990PQ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 015510 <br /> PRIMARY CONTACT: ❑OWNER El CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425.330.8160 <br /> Frank Gonzales 1CONTACT EMAIL:bbtsigns@msn.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:commercial Contract Price of Wor :$6300 <br /> Proposed Use of Building:same ,Heat Source: OG ❑Electri ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓C mercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.l. ❑✓Sign ®Sprink Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Install (3) LED channel letter sign displays <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/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 /> Cityty of Everett Official Use Only <br /> O O 3`I PERiVT \O 1 oC <br /> 0 en/ h rized Agent t/ <br /> g Signature ate (Revised 10/10/2018) <br /> ro <br />