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PERMIT APPLICATION <br />BUILDINOMECHANICAL / PLUMBING / SIGNWPRINKLER / DEMOLITION <br />EVERETT <br />WASHINGTON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(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: 7601 Evergreen Way, Everett 98203 <br />1PROPERTY TAX #: 28050700306700 <br />LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: Columbia Cascade Plaza LLC TENANT BUSINESS NAME (Commercial): Choices Scrubs and Medical <br />OWNER MAILING ADDRESS: STREETPO BOX 2539 <br />crry San Antonio STATE Texas z,P 78299 <br />OWNER PHONE: 425-677-2267 <br />owNER EMAIL:danieltuccillo@regencycenters.com <br />CONTRACTOR NAME:FASTSIGNS Everett <br />CONTRACTOR ADDRESS: ST1EET2802 Colby Ave <br />c,Tv Everett STATE WA z,P 98201 <br />CONTRACTOR PHONE:425-438-9350 <br />1CONTRACTOR EMAIL: amy.crenshaW q@fastslgns.com <br />CONTRACTOR LICENSE #(REQUIRED): CC FASTS**832JK <br />I CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 056308 <br />PRIMARY CONTACT: ❑ OWNER El CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />Amy Crenshaw <br />CONTACT PHONE:425-330-5865 <br />CONTACT EMAIL:arny,crenshaw@fastslgns.COm <br />BUILDING INFORMATION <br />Existing Use of Building:Retail <br />Contract Price of Work: $4625 <br />Proposed Use of Building:Retall <br />Heat Source: ❑Gas []Electric ❑Other <br />BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family - # Units: ommercial ❑Accessory Structure <br />Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑✓ Sign ❑Sprinkler ❑Demolition []Change of Use <br />DESCRIPTION OF WORK: LED Front Lit Channel Letters Sign (Choices) and painted white PVC letters (Scrubs + Medical) <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 Ventilation <br />(Not Heat/AC system) <br />Floor Drain <br />Toilet <br />Exhaust Hood (Type 1) <br />Hose Bibb <br />Urinal <br />Exhaust Hood (Type II) <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 />Roof Drains <br />Water Heater <br />SPRINKLER / SUPPRESSION <br />SYSTEM <br />Sewage Ejector or Sump Pump <br />Other: <br />Water Suppression System <br />I <br />INC. of Heads <br />Chemical Suppression System <br />I <br />lNo. of Heads <br />ACKNOWLEDGEMENT: / 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 />FA <br />04/05/2021 <br />Date <br />City of Everett Official Use Only <br />PERMIT # <br />(Revised 1011012018) <br />