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PERMIT APPLI (��� <br /> BUILDIN ECHANICAL/ PLUMBING RINKLER/ DEMOLITION <br /> EVERETT 32 0 CITY OF EVERETTERMIT SERVICES <br /> CEDAR STREET [EVERETT,WA 98201 I'iwc f-� Li` /II ' Cv�3C(4 <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:2934 Colby Ave, Everett, WA 98201 PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Johanna Brady TENANT BUSINESS NAME(Commercial): The Cake Walk Shop <br /> OWNER MAILING ADDRESS: sTREET2934 Colby Ave <br /> CITY Everett STATE WA ZIP 98201 <br /> OWNER PHONE: (425) 770-1 128 OWNER EMAIL:info@theCakeWalkShOp.Com <br /> CONTRACTOR NAME:Signara111a <br /> CONTRACTOR ADDRESS: STREET305 SE Everett Mall Way, Suite 14 <br /> oily Everett STATE WA ziP 98208 <br /> CONTRACTOR PHONE:42551 201 1 4 CONTRACTOR EMAIL:thavee@signarama-everett.Com <br /> CONTRACTOR LICENSE#(REQUIRED):SIGNA**817L7 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 490g7Z <br /> PRIMARY CONTACT: ❑OWNER El CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:.4255120169 <br /> Thavee Douangaphaivong CONTACT EMAIL:thavee@signarama-everett.com <br /> BUILDING INFORMATION <br /> Existing Use of Building: Contract Price of Work: $500 <br /> Proposed Use of Building: Heat Source: OGas ❑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: Sign and awning installation. Sign is flat aluminum composite construction and will be mounted flat to <br /> the front facade of the building using not less than ten (10) 1" self tapping screws. <br /> The awning will be installed under the business identification sign using 3/8" x 3" lag bolts. <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 Ventilation 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 /> City of Everett Official Use Only <br /> PERMI,T,#����� V1d <br /> OwnerfAiit h zed Agent Signature Date (Revised 10/10/2018) <br /> �/ / 5 Z. <br />