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III • <br /> M PERMIT APPLICATION <br /> II <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:5108 Evergreen Way PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: K Properties NW LLC TENANT BUSINESS NAME(Commercial): RAC-Rent A Center <br /> OWNER MAILING ADDRESS: STREET108 E Main St. Ste 202 <br /> crrf Monroe STATE WA ZIP 98272 <br /> OWNER PHONE:253.549.9643 OWNER EMAiL:kari@propertiesnw.com <br /> CONTRACTORNAME:Sno-King Signs& Banners LLC <br /> CONTRACTOR ADDRESS: STREET625 Aloha Way <br /> cny Edmonds STATE WA zip 98020 <br /> CONTRACTOR PHONE:425 775 0594 CONTRACTOR EMAIL:SnOkingSignS@gmail.COm `- 'N <br /> CONTRACTOR LICENSE#(REQUIRED):SnOICIw(Q a 5 CITY OF EVERETT BUSINESS LICENSE#(REQUI( r D). "J )1 <br /> PRIMARY CONTACT: 0 OWNER O CONTRACTOR ❑OTHER(Please Specify) 4- teef)' 1261 014 <br /> CONTACT NAME: CONTACT PHONE:425.220.8833 <br /> Randy Hutchins CONTACT EMAIL:snokingsigns@gmail.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:Commercial retail Contract Price of Work:$3000.00 <br /> Proposed Use of Building:Same Heat Source: ❑Gas DElectric ❑Other <br /> BUILDING USE: ❑SFR DTownhouse ❑Duplex ❑ADU DMulti-Family-#Units: ❑Commercial DAccessory Structure <br /> Type of Project: ONew DAddition DRemodel DRepair ❑T.I. ❑Sign ❑Sprinkler DDemolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Remove old damaged signage and replace with new <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fi <br /> xture List of Fixtures List of Fixtures List of Fixtures List of Fixtures <br /> count Count Count - <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/Insert/Log 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 I No.of Heads <br /> ACKNOWLEDGEMENT!have reviewed this applica;I. and .•firm 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•= o =uthorizes approved work and no deviations therefrom.Deviations must first be authorized In writing from the <br /> Building Official before being authorized under y ci a-ce.loam the owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and I••, ,y with the State Co, = ors Law 1:.27^ a 29.r Li,_ •. .C. <br /> �r City of Everett Official Use Only <br /> PERMIT#\ufffto -. 6 17/ / s l a b r no <br /> 4 /t,fr1 //' <br /> e utho ,ge :ignatu ' r ate (Revised 10/10/2018) <br />