Laserfiche WebLink
PERMIT APPLICATION <br /> BUILDING OECHANICAL/ PLUMBING / SIGN IWRINKLER/ 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:10524 19th Ave SE PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Pacific Premier Bank TENANT BUSINESS NAME(Commercial): Pacific Premier Bank <br /> OWNER MAILING ADDRESS: STREET 2707 Colby Ave <br /> CITY Everett STATE WA ZIP 98201 <br /> OWNER PHONE: 425-252-5400 OWNER EMAIL:DAVE.GRAEF@skotdal.com <br /> CONTRACTOR NAME:Plumb Signs - Garin Taylor <br /> CONTRACTOR ADDRESS: STREET 909 S 28th St <br /> cITY Tacoma STATE WA zIP 98409 <br /> CONTRACTOR PHONE:253-473-3323 Ext. <br /> (42 'CONTRACTOR EMAIL:ctaylor@plumbsigns.com _ <br /> CONTRACTOR LICENSE#(REQUIRED)6 \( )S CA OF EVERETT BUSINESS LICENSE#(REQUIREC <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR 0 OTHER (Please Specify) Permit Expeditor <br /> CONTACT NAME: CONTACT PHONE:302-318-1230 <br /> Pam Kearney CONTACT EMAIL:pkearney@scoutservices.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:Bank Contract Price of Work: $15 000 <br /> Proposed Use of Building:Bank Heat Source: ❑Gas ❑Electric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ✓❑Commercial ElAccessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.L ❑✓Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Installing three sets of channel letters, one replacement face, two directional signs and removing and replacing the ATM surroun <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 WasteMlater 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 /> e� <br /> �-to (Revised 10/10/2018) l/ <br />