15 SW EVERETT MALL WAY ZIPLY FIBER 2021-09-22

PERMIT APPLICATION BUILDING/MECHANICAL/PLUMBING/SIGN /SPRINKLER/ DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:15 SW Everett Mall Way-D Everett WA 98204 PROPERTY TAX#:28042400100300 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Jonathan Koshar TENANT BUSINESS NAME(Commercial): Ziply Fiber OWNER MAILING ADDRESS: STREET PO BOX 1127 c„' Everett STATE WA ZIP 98206 OWNER PHONE: 425-533-4015 OWNER EMAIL:Jonathan.Koshar@ziply.com CONTRACTOR NAME:SuperGraphics CONTRACTOR ADDRESS: STREET2201 15th Ave W ciry Seattle STATE WA zip 98119 CONTRACTOR PHONE:(206)284-2201 CONTRACTOR EMAIL:morgenm@supergraphics.com CONTRACTOR LICENSE#(REQUIRED):CC SUPERL*812LK CITY OF EVERETT BUSINESS LICENSE#(REQUIR D: PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:(206)954-1765 (22 Morgen Masciana CONTACT EMAIL:morgenm@st�ergraphi . om BUILDING INFORMATION Existing Use of Building:commercial Contract Price o ork:$$21,156 Proposed Use of Building:commercial Heat Source: ,as ❑Electric ther BUILDING USE: ❑SFR ❑Townhouse ❑Duplex LIADU ❑Multi-Family-#Units: ommercial ❑Accessory Structure Type of Project: ✓❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ElDemolition ❑Change of Use DESCRIPTION OF WORK: Removal of existing QTY 1 "Frontier" illuminated sign with raceway and installation of new"Ziply Fiber" illuminated sign with raceway in same size. Install of QTY 2 new polycarbonate panels with direct print"Ziply Fiber"into pylon sign by street. Location is still being determined by mall management. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilatior Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System NO.of Heads Chemical Suppression System I INo.of Heads 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 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 Building Official before being authorized under any circumstance.lam the owner,or I am authorized by the owner of this property to perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMLT# 9J . 11.20.20 Owner/Author ed Agent Signature Date (Revised 10/10/2018)