11419 19TH AVE SE RENEW ND 2022-03-03

BUILDING.ECHANICALE PLUMBING I SIGN I . RINKL gE40 th ibb ! , EVERETT CITY OF EVERETT PERMIT SERVICES y 3200 CEDAR STREET, EVERETT,WA 98201 JUN L 3 2020 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 PUBLIC: WI)R K R. PROJECT SITE ADDRESS:11419 19th Ave SE a108, Everett, WA 98208 PROPERTY TAX#:00056 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Liubov Evmeshkina TENANT BUSINESS NAME(Commercial): Renew ND OWNER MAILING ADDRESS: STREET11419 19th Ave SE a108 cm' Everett STATE WA ZIP 98208 OWNER PHONE:425.551.7573 OWNER EMAIL:dr.IUba.nd@gmall.COm CONTRACTOR NAME:Sign Pros Inc CONTRACTOR ADDRESS: STREET17425 NE 70th PL cin, Everett STATE WA ZIP 98052 CONTRACTOR PHONE:425-836-6069 CONTRACTOR EMAIL:dustin.lippert@signpros.net CONTRACTOR LICENSE#(REQUIRED):SIGNPI*017N7 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 59989 PRIMARY CONTACT: ❑OWNER El CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425425-836-6069 Dustin Lippert CONTACT EMAIL:dustin.lippert@signpros.net BUILDING INFORMATION Existing Use of Building:Natural Doctor Contract Price of Work: $300 Proposed Use of Building:Natural Doctor Heat Source: OGas ❑Electric ❑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: New Sign for building face, non-illumnated 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 1 SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System No.of Heads 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 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 PERMIT_ ,,, & (-7 ZO 0 /,-t "1-- 00' ! Ow uthorized Agent Signature Date (Revised 10/10/2018) �ti�