5108 EVERGREEN WAY RENT A CENTER 2022-06-28

• PERMIT APPLICATION • BUILDING / MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 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 PROJECT SITE ADDRESS: 5/08 EV EKGI?EE") WAY EI.E,2ETT 96204i PROPERTY TAX#: 29053 I OO`Y0/ 5OO LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: PAK 3,4E K SWIG TENANT BUSINESS NAME(Commercial): £ 'ti7-/-1-660764 OWNER MAILING ADDRESS: STREET 3532 2/6r8 PL 66 CITY Bo7/t.LL STATE WA ZIP 9649Z/ OWNER PHONE: 1/2-5- 2 5 0. 9Z 3 Z OWNER EMAIL: CONTRACTOR NAME: /-16A7N A/0 27HWES7 CONTRACTOR ADDRESS: STREET 27/0 /05rry ST. c7 S. Su17E A CITY LAKE JQop STATE Wi" ZIP 9 I99 CONTRACTOR PHONE: 253 ifg5 7 ,?i CONTRACTOR EMAIL: 6.6f0Sn exm(a tees' 4u/41, we SI-• e0.41 CONTRACTOR LICENSE#(REQUIRED): /7'EA-r/-by '9• /3 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 4'/6/"7 PRIMARY CONTACT: ❑OWNER CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 2 63 .195 7o c7/ BR%/}N DRO3A/A/J CONTACT EMAIL: I.b/OS/!Ail I'1Gc%:1T�'� Mdr- tue S . com BUILDING INFORMATION Existing Use of Building: CeMjn<A GI AL Contract Price of Work:$ /gyc ee Proposed Use of Building: G 0 on,..,C2e g.4 L 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. 1ign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: REifi'►ovw Ao,0 12 4 s1")S��u— �xf S7/NG 14„4.1.4- S/G - Fo paw/E.e Cat)MEL7/u^) t Co&tEc7'a4'S P ' ltk 7o (bE MoutiE,o -o Oo (LFNIseIZ_ 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/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 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT .... w S3i,zozoOcH jV) Owne zed Agen Date (Revised 10/10/2018)