11611 AIRPORT RD COMPASSION COUNSELING SERVICES 2023-02-09

IIIIIIII • PERMIT APPLICATION 0 in 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:11611 Airport Rd Suite 206 Everett,Wa 98290 PROPERTY TAX#:00537900005300 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) '131'f `: CONTACT;INFORMATION , 7 k : 'VI OWNER NAME: MIETZNER BUSINESS PARK LLC TENANT BUSINESS NAME(Commercial): CompassiontCounseling Services OWNER MAILING ADDRESS: STREETS 1611 Airport Rd Suite BI CIn Everett STATE WA Z P 98204 OWNER PHONE:425-212-2490 OWNER EMAIL:benm p@mietZClergrOup.COm CONTRACTOR NAME:FASTSIGNS Everett CONTRACTOR ADDRESS: sTREET28O2 Colby Ave CITY Everett STATE WA Zip 98201 CONTRACTOR PHONE:425-350-5865 CONTRACTOR EMAIL:amy.crenshaw@fastsigns.com CONTRACTOR LICENSE#(REQUIRED):CC FASTS**832JK CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 056308 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425.330.5865 Amy Crenshaw CONTACT EMAIL:amy.crenshaw@fastsigns.com s: BUILDING INFORMATION Existing Use of Building: Contract Price of Work:$739.40 Proposed Use of Building: Heat Source: OGas ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ERepair ❑T.I. ©Sign DSprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Remove existing 3mm aluminum composite sign and replace with a new aluminum composite sign 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 NC—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 Ventilatior 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'Y!SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System I 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.lam the owner,or I am authorized by the owner of this property to perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only �I 2 . 24 PERMIT# .c 2_I o$-O o / 0 er Autho d Agent Signature Date (Revised 10/10/2018)