2814 COLBY AVE JOURNEY CHURCH 2021-12-16

• PERMIT APPLICATION 1.1 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: 2814 Colby Ave. Everett, WA 98208 PROPERTY TAX#:00439166801900 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: FULL GOSPEL MISSION CHURCH TENANT BUSINESS NAME(Commercial): Journey Church OWNER MAILING ADDRESS: STREET 2814 Colby Ave. CITY Everett STATE WA ZIP 98201-3513 OWNER PHONE: 425-343-3688 OWNER EMAIL:IUke@joininthejOUrney CONTRACTOR NAME:Berry Sign CONTRACTOR ADDRESS: STREET7400 Hardeson Rd c,-- Everett STATE WA ZIP 98203 CONTRACTOR PHONE:2538303600 CONTRACTOR EMAIL:mikel p©berryslgn.com CONTRACTOR LICENSE#(REQUIRED):BERRYSS857B7 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 603454590 PRIMARY CONTACT: ❑OWNER El CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:2532325620 Mike Lee CONTACT EMAIL:mikel©berryslgn.Com BUILDING INFORMATION Existing Use of Building:Commercial Contract Price of Work:$4500 Proposed Use of Building: Heat Source: ❑Gas DElectric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑✓Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Install one set of non-illuminated letters/panel onto fascia 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 Ventilation 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 'No.of Heads ACKNOWLEDGEMENT:/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. I am 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 PER 12.2.2020 200 C°K Owner/Authorized Agent Signature Date (Revised 10/10/2018) c1Ti 2.