Laserfiche WebLink
MIMI <br /> 110 <br /> PERMIT APPLICATIOO <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 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:229 SW EVERETT MALL WAY PROPERTY TAX#:2804200100800 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> • CONTACT INFORMATION <br /> OWNER NAME: KIA OF EVERETT TENANT BUSINESS NAME(Commercial): KIA <br /> OWNER MAILING ADDRESS: STREET229 SW EVERETT MALL WAY <br /> ciry EVERETT STATE WA ZIP 98204 <br /> OWNER PHONE: 8448741460 OWNER EMAIL: <br /> CONTRACTOR NAME:NATIONAL SIGN CORPORATION <br /> CONTRACTOR ADDRESS: STREET 1255 WESTLAKE AVE N <br /> cin, SEATTLE STATE WA ziP 98109 <br /> CONTRACTOR PHONE:2062820700 CONTRACTOR EMAIL:STEVEZ@NATIONALSIGNCORP.COM <br /> CONTRACTOR LICENSE#(REQUIRED):NATIOSC031 M3 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: D OWNER 0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206 380 2854 <br /> STEVE ZAMBERLIN CONTACT EMAIL:stevez@nationalsigncorp.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:AUTO DEALERSHIP Contract Price of Work: $2,800.00 <br /> Proposed Use of Building: Heat Source: OGas ❑Electric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> Type of Project: New ❑Addition ❑Remodel ❑Repair ❑T.I. L Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: REMOVE EXISTING "PERFORMANCE" LETTERS AND REPLACE WITH NEW "EVERETT" <br /> ILLUMINATED LETTERS - EXTERIOR WALL SIGN. <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 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 appation 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 grantin 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 auth rize under ny 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 Cont cto Law 8.27 RCW and 296.200A WAC. <br /> i <br /> City of Everett Official Use Only <br /> PERMIT# <br /> // l-II-Zo20 26k b©g <br /> Owner/Authorized Agent, igrtatur Date (Revised 10/10/2018) <br /> li )I <br />