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PERMIT APPLICATIO4 <br /> Ira <br /> BUILDING / MECHANICAL / PLUMBING /SIGN / SPRINKLER / N &!�_ /; <br /> ACITY OF EVERETT PERMIT SERVICES i I j I <br /> EVERETT 3200 CEDAR STREET, EVERETT,WA 98201 R 2 3 2020 I / <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettw . ov/ ermits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION � r' ' / <br /> PROJECT SITE ADDRESS: 8530 Evergreen Way Ste A PROPERTY TAX#:28041300100800 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Fred Meyer Stores TENANT BUSINESS NAME(Commercial): Chase Bank <br /> OWNER MAILING ADDRESS: STREET 1014 Vine St <br /> CITY Cincinnati STATE OH ZIP 45202 <br /> OWNER PHONE: 818-775-7255 OWNER EMAIL:bruce.sayles@chase.com <br /> CONTRACTOR NAME:City Lites Neon <br /> CONTRACTOR ADDRESS: STREET902 NW 49th St <br /> CITY Seattle STATE WA ZIP 98107 <br /> CONTRACTOR PHONE:206-789-4747 CONTRACTOR EMAIL:Sarah@citylightssign.com <br /> CONTRACTOR LICENSE#(REQUIRED):CITYLNIO99DG CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 41415 <br /> PRIMARY CONTACT: ❑OWNER XCONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: Sarah Terry CONTACT PHONE:206-789-4747 <br /> CONTACT EMAIL:sarah@citylightssign.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:531 Department Stores Contract Price of Work: $2500 <br /> Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑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: Remove and dispose of(2)channel letter wall signs for Chase Bank <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 /> 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: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. 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 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 /> kylw <br /> ( \/\_/a P TU✓O `-` CC) a <br /> Owner/Authorized Agent Signat Date (Revised 10/10/2018) <br /> I <br />