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PERMIT APPLICATION, - <br />BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKL <br />CITY OF EVERETT PERMIT SERVICES /i <br />3200 CEDAR STREET, EVERETT, WA 98201 MAR <br />-- (P) 425-257-8810 1 FAX 425-25/-8857 1 tt) everettepsLeverettwa.yov I www.evel . owpeitnrts <br />(Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: 305 SE Everett Mall Way <br />PROPERTY TAX #: 28051 Ron.'io43 61`41.N',,i. <br />LEGAL for new construction: Short Plat/subdivision Lot No (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: ACF Property Management Inc TENANT NAME (If Commercial): Bank Of America <br />OWNER MAILING ADDRESS: STREET 1241 1 Ventura Boulevard <br />CITY Studio City STATE CA Z,, 91604 <br />OWNER PHONE: 818-505-6777 <br />IOWNER EMAIL: tbrOWn@acfpm.Com <br />CONTRACTOR NAME:CIty Lltes Neon <br />CONTRACTOR ADDRESS: STREET 902 NW 49th St <br />CITY Seattle STATE WA zip 98107 <br />CONTRACTOR PHONE:206-789-4747 <br />CONTRACTOR EMAIL: Sarah@CltyllghtsSign.com <br />CONTRACTOR LICENSE #(REQUIRED): CITYLNI099DG <br />ICITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 041415 <br />PRIMARY CONTACT: ❑ OWNER ® CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />Sarah Terry <br />CONTACT PHONE:206-789-4747 <br />CONTACT EMAIL: sarah@citylightssign.com <br />BUILDING PERMIT APPLICATION <br />Existing Use of Building: 539 Other Retail Trade <br />Contract Price of Work: $ 5000 <br />Proposed Use of Building: 539 Other Retail Trade <br />Heat Source: ❑Gas ❑Electric ❑Other <br />Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi -Family-# of Units: ®Commercial ❑Industrial <br />Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition []Change of Use <br />DESCRIPTION OF WORK: <br />Install and maintain (2) illuminated channel letter wall signs for Bank of America <br />ASSOCIATED BUILDING PERMIT # (if applicable): <br />PLUMBING PERMIT APPLICATION <br />MECHANICAL <br />PERMIT APPLICATION <br />Type of Project: <br />New Addn _Alteration <br />_Repair <br />Type of Project: _New _Addn <br />_Alteration _Repair <br /># of <br />Fixtures <br />List of Fixtures <br /># of <br />Fixtures <br />List of Fixtures <br /># of <br />Fixtures <br />List of Fixtures <br /># of <br />Fixtures <br />List of Fixtures <br />A/C - Air Handling Units <br />Heat Pump <br />Toilet <br />Backflow Preventer (Inside Bldg) <br />Forced Air Systems <br />Unit Heater <br />Bathtub <br />Urinal <br />Gas Piping <br />Boiler <br />Lavatory (Wash Basin) <br />Drinking Fountain <br />Water Heater <br />Refrigeration <br />Shower <br />Floor Drain <br />Gas Fireplace <br />Wood Stove <br />Kitchen Sink & Disposal <br />Grease Trap <br />Gas Range <br />Ducting <br />Dishwasher <br />Roof Drains <br />Clothes Dryer Hookups <br />Other: <br />Clothes Washer <br />Medical Gas <br />Range Hood <br />Water Heater <br />Other: <br />Exhaust Fan <br />Sink (Service/Bar/Mop/etc.) <br />Other: <br />SPRINKLER <br />/ SUPPRESSION <br />SYSTEM <br />Chemical or Water <br />I <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. 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 />PE# L�l/L/ —CC <br />Owner/Authorized Agent Signa r ate (Revised 912312016) <br />