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PERMIT APPLICATIONipa icy <br /> all <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 /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 7125 Evergreen Way PROPERTY TAX#: PID#00393300000600 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Lindsay Crow TENANT BUSINESS NAME(Commercial): Rodland Toyota <br /> OWNER MAILING ADDRESS: STREET Evergreen Way(7125) <br /> CITY Everett STATE WA ZIP 98203 <br /> OWNER PHONE: 425-210-3312 OWNER EMAIL: <br /> CONTRACTOR NAME:National Sign Corp <br /> CONTRACTOR ADDRESS: STREET 1255 Westlake Ave N. <br /> clry Seattle STATE WA ZIP 98109 <br /> CONTRACTOR PHONE:760-274-4325 CONTRACTOR EMAIL:p2U@USa.Com <br /> CONTRACTOR LICENSE#(REQUIRED):NATOSC166MS CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: ID OWNER 0 CONTRACTOR ❑OTHER(Please Specify) Agent <br /> CONTACT NAME: CONTACT PHONE:760-274-4325 <br /> Ross McArthur CONTACT EMAIL:p2u@usa.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:Auto Sales. Contract Price of Work: $11,239.00 <br /> Proposed Use of Building:Same Heat Source: ❑Gas DElectric DOther <br /> BUILDING USE: ❑SFR ❑Townhouse ElDuplex ❑ADU L-iMulti-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: Installation of one double sisde TOYOTA freestanding sign. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixture <br /> Count Fixture <br /> List of Fixtures List of Fixtures List of Fixtures <br /> count Count 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 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/am authorized by the owner of this property to perform the work for which application is made, <br /> and/comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> nn d2 �� City <br /> �o►fyEverett Official Use Only <br /> /Cb 3.23.2021 P f Vi lJ�_'-' 00 LO <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2U78) <br /> 7, <br />