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0 PERMIT APPLICATION • <br />BUILDING /MECHANICAL /PLUMBING /SIGN /SPRINKLER /DEMOLITION <br />EVERETT 32CITY OF EVERETT PERMIT SERVICES <br />00 CEDAR STREET, EVERETT, WA 98201 <br />WASHINGTON (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br />(Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS:309 E Casino Rd Suite A <br />PROPERTY TAX #:00598700000101 <br />LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: BJJ INVESTMENTS LLC TENANT BUSINESS NAME (Commercial): Subway <br />OWNER MAILING ADDRESS: STREET8091 W MERCER WAY <br />ciTv MERCER ISLAND STATE WA zip 98040 <br />OWNER PHONE: <br />OWNER EMAIL: <br />CONTRACTOR NAME:SIgnS Plus Inc. <br />CONTRACTOR ADDRESS: STREET766 Marine Drive <br />c,Tv Bellingham STATE WA ZIP 98225 <br />CONTRACTOR PHONE:360-671-7165 <br />1CONTRACTOR EMAIL: pern"IItS@SlgnSpluSnW.cOm <br />CONTRACTOR LICENSE #(REQUIRED):SIGNSPI952LW <br />ICITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 52728 <br />PRIMARY CONTACT: ❑ OWNER El CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />Royce Sieving <br />CONTACT PHONE: 360-671-7165 <br />CONTACT EMAIL: permits@signsplusnw.com <br />BUILDING INFORMATION <br />Existing Use of Building:Retail Trade <br />Contract Price of Work: $3,432 <br />Proposed Use of Building:Retall Trade <br />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 ET. 1. ❑✓ Sign ❑Sprinkler ❑Demolition ❑Change of Use <br />DESCRIPTION OF WORK: Replace existing SUBWAY sign with (1) new SUBWAY sign. <br />ASSOCIATED BUILDING PERMIT # (if applicable): <br />MECHANICAL <br />PERMIT <br />APPLICATION <br />PLUMBING PERMIT <br />APPLICATION <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />A/C — Air Handling Units <br />Gas Piping <br />Backflow Preventer (Inside Bldg) <br />Shower, Tub, or Combo <br />Boiler <br />Gas Range <br />Clothes Washer <br />Sink -Commercial (3-comp,prep,floor) <br />Clothes Dryer <br />Heat Pump&Ductless <br />Dishwasher <br />Sink -Residential (kitchen, bath, bar) <br />Duct System (Remodel) <br />Refrigeration <br />Drinking Fountain <br />Sink -Utility, laundry, mop <br />Exhaust Fans (Residential) <br />Commercial Ventilatior <br />(Not Heat/AC system) <br />Floor Drain <br />Toilet <br />Exhaust Hood (Type 1) <br />Hose Bibb <br />Urinal <br />Exhaust Hood (Type 11) <br />Water Heater <br />Interceptor -Grease <br />Waste/Water Piping Repair <br />Exhaust Hood (Residential) <br />Wood Stove <br />Interceptor-Sand/Oil <br />Water Service (behind meter) <br />Forced Air Systems <br />Other: <br />Medical Gas <br />Water Valves or Fixtures <br />Gas Fireplace/Insert/Log <br />I <br />Roof Drains <br />Water Heater <br />SPRINKLER / SUPPRESSION <br />SYSTEM <br />Sewage Ejector or Sump Pump <br />Other: <br />Water Suppression System <br />No. of Heads <br />Chemical Suppression System <br />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. 1 am the owner, or l am authorized by the owner of this property to perform the work for which application is made, <br />and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />City of Everett Official Use Only <br />Royce Sieving Digitally signed Royce Sieving P� O <br />Date: 2021.01.08 08:55:30-08'00' �llJJt«.. , <br />Owner/Authorized Agent Signature Date (Revised 1011012018) / <br />