8530 EVERGREEN WAY LIBERTY INCOME TAX 2023-04-06

PERMIT APPLICATION Lilo 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:8552 Evergreen Way, Everett, WA 982090 PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Benderson Realty Development, Inc. TENANT BUSINESS NAME(Commercial): Liberty Tax & Loan OWNER MAILING ADDRESS: STREET 7978 Cooper Creek Blvd. CITY University Park STATE Florida ZIP 34201 OWNER PHONE: 941-360-7236 OWNER EMAIL:ShaunBenderson@benderson.com CONTRACTOR NAME: Cascade Signs and Graphics LLC CONTRACTOR ADDRESS: STREET9414 Elm Ave. SE CITY Snoqualmie STATE Washington ZIP 98065 CONTRACTOR PHONE: 425-818-0672 CONTRACTOR EMAIL:Sales@CascadeSG.com CONTRACTOR LICENSE#(REQUIRED):CASCASG807RT CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 62992 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-818-0672 Laurie Ruselowski CONTACT EMAIL:Sales@CascadeSG.com BUILDING INFORMATION Existing Use of Building:Commercial Office Contract Price of Work:$$6,500 Proposed Use of Building:Same Heat Source: ❑Gas ❑Electric DOther Unk BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair DTI. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Replace existing illuminated channel letter sign with a new sign with approximately same dimensions. See attached drawings (3 pages.) 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 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 1 Other: Wall Sign Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER I SUPPRESSION SYS1 EM' 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 I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only ( PERMIT# u p S � � p � _ ppcb O. net/Authorized Agent Signature Date (Revised 10/10/2018) 1/Z