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fie. <br /> PERMIT APPLII A O <br /> BUILDING OECHANICAL / PLUMBING/ SIGN /• / DEMOLITION <br /> EVERETT CITY OF EVERETT PE IT SERV ES <br /> 3200 CEDAR STREET, EV , A 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: 1325 SE Everett Mall Way Everett, WA 98208 PROPERTY TAX#:28051800404900 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: TRU 2005 RE I LLC TENANT BUSINESS NAME(Commercial): Flying Squirrel <br /> OWNER MAILING ADDRESS: sTREET300 DESCHUTES WAY SW STE 208 MC-CSC1 <br /> CITY TUMWATER, STATE WA ZIP 98501 <br /> OWNER PHONE: 206-861-5120 OWNER EMAIL: ANNUALREPORTS@CSCGLOBAL.COM <br /> CONTRACTOR NAME:Berry Sign <br /> CONTRACTOR ADDRESS: sTREET5002 S Washington St <br /> CITY Tacoma STATE WA ZIP 98409 <br /> CONTRACTOR PHONE:253 830-3600 CONTRACTOR EMAIL:fTlikel@berrysign.COM <br /> CONTRACTOR LICENSE#(REQUIRED):Berryss857b7 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 024786 <br /> PRIMARY CONTACT: 0 OWNER El CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:253 830-3600 <br /> Mike Lee CONTACT EMAIL:mikel@berrysign.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:COmmercial Contract Price of Work: $25000 <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. ✓❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Install three wall signs onto fascia, install two tenant panels into existing D/F pylon 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 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/InserULog Roof Drains Water Heater <br /> SPRINKLER/ SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: SIGNS <br /> Water Suppression System No. of Heads <br /> Chemical Suppression System 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. 1 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 /> 10.15.2021 PERMIT# 3 z 1 Y © — 06 <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br /> 1 <br />