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• <br /> PERMIT APPLICATION 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 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink,Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:11127 Evergreen Way, Everett WA 98204 PROPERTY TAX#:00057 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: BECU-Judy Scott TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET 12770 Gateway Dr S <br /> crry Tukwila STATE WA ZIP 98168 <br /> OWNER PHONE: (206)439-5700 OWNER EMAIL:judy.scott@becu.org <br /> CONTRACTOR NAME:Meyer Sign &Advertising <br /> CONTRACTOR ADDRESS: sTREET2608 Old Hwy 99 S <br /> CITY Mount Vernon STATE WA ZIP 98273 <br /> CONTRACTOR PHONE:Ken Hitt CONTRACTOR EMAIL:permits@meyersign.com <br /> CONTRACTOR LICENSE#(REQUIRED):MEYERSC83238 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 57310 <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR D OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206.817.7504 <br /> Lorielle Crafton - Graffix Inc. CONTACT EMAIL:lorielle@graffixinc.com 1 <br /> BUILDING INFORMATION <br /> Existing Use of Building: Contract Price of Work:$ {5e6:8U 44 61(0 ,�L, <br /> Proposed Use of Building: Heat Source: OGas ❑Electric DOther <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU DMulti-Family-#Units: ❑Commercial DAccessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑✓Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Installation of(3) new building ID signs and (2)new Entrance Monument signs. <br /> Existing signage will be removed by others. We will be replacing panels on the existing drive-thru wayfinding sign. existing <br /> structure to remain though. <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/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 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.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 Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> 08/20/2019 I 'w( <br /> Owner/Authorized Agent Sign re Date (Revised 10/10/2018) <br /> I y <br />