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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 J FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only'Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:1 041 1 Airport Rd I Everett, WA 98208 PROPERTY TAX#:01036300010100 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: DEJONGE DELTA/BC LLC TENANT BUSINESS NAME(Commercial): Dunn Lumber <br /> OWNER MAILING ADDRESS: STREET1715 114TH AVE SE STE 212 <br /> CITY Bellevue STATE WA ZIP 98004 <br /> OWNER PHONE: 425 985-0696 OWNER EMAIL:peted Cl dUnnlUnlber.COrn <br /> CONTRACTOR NAME:Berry Sign <br /> CONTRACTOR ADDRESS: STREET5002 S Washington St. <br /> CITY Tacoma STATE WA ZIP 98408 <br /> CONTRACTOR PHONE:2538303600 CONTRACTOR EMAIL:Mikel q©berrySlgn.COM 2-4-7 0(o <br /> CONTRACTOR LICENSE#(REQUIRED):BERRYSS857B7 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): -€421-31:Fa4590 <br /> PRIMARY CONTACT: ❑OWNER ❑ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:2532325620 <br /> Mike Lee CONTACT EMAIL:mikel p©berrySlgn.COrn <br /> BUILDING INFORMATION <br /> Existing Use of Building:COmmercial Contract Price of Work: $4500 <br /> Proposed Use of Building: Heat Source: ❑Gas DElectric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-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: Install two non-illuminated panels onto N &West fascias <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures count List of Fixtures Count List of Fixtures 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/InserULog Roof Drains Water Heater <br /> SPRINKLER/SUPPRESSION SYSTEM 1g 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 /> PERMIT# <br /> 2.24.2021 — U� <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br />