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0 • <br /> MEE <br /> PERMIT APPLICATION <br /> BUILDING I MECHANICAL/ PLUMBING /SIGN /SPRINKLERN DEMOLITION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 320014 t I v �i <br /> 01 CEDAR STREET,EVERETT,WA 98201 € <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-6857 I(E)everetteps@everettwa.gov I www.everettwa. ovipermlts <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:11014 19th Ave SE Suite 4 Everett WA 98208 PROPERTY TAX#:28051900400400 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: MUV Fitness TENANT BUSINESS NAME(Commercial): MUV Fitness <br /> OWNER MAILING ADDRESS: STREET 11014 19th Ave SE Suite 4 <br /> c,n Everett STATE WA ZIP 98208 <br /> OWNER PHONE: 425-428-6357 OWNER EMAIL:info@muvfitness.com <br /> CONTRACTOR NAME:Plumb Signs <br /> CONTRACTOR ADDRESS: srREET909 S 28th St <br /> cme Tacoma STATE WA Zip 98409 <br /> CONTRACTOR PHONE:253-473-3323 CONTRACTOR EMAIL:emily@plumbsigns.com <br /> CONTRACTOR LICENSE#(REQUIRED):PLUMBSI077QC CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 48285 <br /> PRIMARY CONTACT: 0 OWNER D CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:253-473-3323 <br /> Emily Hayes CONTACTEMAIL:emily@plumbsigns.com <br /> 'BUILDING INFORMATION <br /> Existing Use of Building:Gym Contract Price of Work:$29,175 <br /> Proposed Use of Building:Gym Heat Source: ❑Gas ❑Electric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: L✓_iCommercial ❑Accessory Structure <br /> Type of Project: ❑New LlAddition L]Remodel ❑Repair ❑T,I. WISign ❑Sprinkler ❑Demolition OChange of Use <br /> DESCRIPTION OF WORK: Removing existing and replacing with (1)wall sign on storefront, also refacing (2)pylon faces. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION 'PLUMBING PERMIT APPLICATION. <br /> Fixture List of Fixtures Fixture Fixture Fixture <br /> Count 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 Ventilation 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 µNo.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 WAG. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> S ZI O — 603' -7 " <br /> Owner/Ru ed AgSignature 4/12/2021 <br /> Date (Revised 10/10/2018) <br /> 1/ <br /> Z <br />