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PERMIT APPLICATION <br /> 6.1 <br /> BUILDING/MECHANICAL 1 PLUMBING/SIGN 1 SPRINKLER 1 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 Ploas•) 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 MAJLINGADDRESS: STREET 108 E Main St. Ste 202 <br /> crrr Monroe STATE WA zip 98272 <br /> OWNER PHONE:253.549.9643 OWNER EMAIL:kari@propertiesnw.COm <br /> CONTRACTOR NAME:SnO-King Signs & Banners LLC <br /> CONTRACTOR ADDRESS: sTREET625 Aloha Way <br /> Edmonds STATE WA me 98020 <br /> CONTRACTOR PHONE:425 775 0594 CONTRACTOR EMAIL:snokingsigns@gmail.cam <br /> CONTRACTOR LICENSE#(REQUIRED):SnOkiS S 1. pt.— <br /> J CITY OF EVERETT BUSINESS LiCENSE#(REQUIRED): <br /> PRIMARY CONTACT: ❑OWNER a CONTRACTOR O OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425.220.8833 <br /> Randy Hutchins CONTACT EMAIL:snokingsigns@grnail.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: OGas 0Electric Dottier <br /> BUILDING USE: OSFR OTownhouse ODuplex DADU OMulti-Family-#Units: OCommercial DAcc essory Structure <br /> Type of Project: DNew OAddition ORemodei ❑Repair DTJ. DSign OSprinkler ❑Demolition OChange 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 /> Fixture List of Fixtures ""' List of Fixtures Flxture List of Fixtures List of Fixtures <br /> Count 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(3comp,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 ( No.of Heads <br /> Chemical Suppression System t 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.tam 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 1827 RCW and 296.200A WAC <br /> City of Everett Official Use Only <br /> PERMIT# i CkQco 0 <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br />