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• PERMIT APPLICATION <br /> BUILDING/ MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ 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 /> (Blus;or Black.InkOnly Please) <br /> k ,;;,, ,PROJECT=SITEINFORMATION , ., . _... .. . .,. ,. �. <br /> PROJECT SITE ADDRESS:7400 Hardeson Rd PROPERTY TAX#:28041200200700 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> . CONTACT INFORMATIONw <br /> OWNER NAME: ZAMBERLIN GEORGE S BYPASS TRUST TENANT BUSINESS NAME(Commercial): Sunbelt Rentals <br /> OWNER MAILING ADDRESS: STREET 519 N 66TH ST <br /> crry Seattle STATE WA ZIP 98103 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME:Culbertson Sign Service <br /> CONTRACTOR ADDRESS: sTREET5209 122nd ST E <br /> CITY Tacoma STATE WA ZIP 98446 <br /> CONTRACTOR PHONE:253-538-0752 CONTRACTOR EMAIL:csspermits©gmail.com <br /> CONTRACTOR LICENSE#(REQUIRED):CULBESS842N6 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 053695 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:253-538-0752 <br /> Hans Visser CONTACT EMAIL:csspermits@gmail.com <br /> z:- , . _,_z4 BUILDING INFORMATION . ... . ., .:' <br /> Existing Use of Building:Sign fabrication shop Contract Price of Work:$1600 <br /> Proposed Use of Building:Equipment rentals 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 DTI. ❑✓Sign OSprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Install one internally illuminated wall sign on the tenant's east exterior elevation. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> `MECHANICCAL,PERMIT APPLICATION; ,,, _, ,m . _„ ; PLUMBING;PERMITAPPLICATION ;...,. <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures court List of Fixtures Count List of Fixtures Count List of Fixtures <br /> NC—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)SUPPR SSION' TEM,<' $ , _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 /> r PERMIT# _ <br /> �u-� D <br /> � Vi � � "��,.w.,a,�.� .�.F�, 06/21/2021 V� I O� <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br />