10121 EVERGREEN WAY VALUE VET 2023-04-06

PERMIT APPLICATION BUILDING.ECHANICAL / PLUMBING / SIGN /1.1.PRINKLER I 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: 10121 Evergreen Way Suite 108 Everett, WA 98204 PROPERTY TAX#:280424002001 O2 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: PACIFIC ASSET ADVISORS INC TENANT BUSINESS NAME(Commercial): Intercity Vet Hospital OWNER MAILING ADDRESS: STREET14205 SE 36TH ST SUITE 215 c,TY Bellevue STATE WA ZIP 98006 OWNER PHONE: 425.990.6200 OWNER EMAIL:info@paadVISOrS.COITI CONTRACTOR NAME:Berry Sign CONTRACTOR ADDRESS: STREET5002 S Washington St CITY Tacoma STATE WA ZIP 98409 CONTRACTOR PHONE:253 830-3600 CONTRACTOR EMAIL:MIkel@berrysign.COITI CONTRACTOR LICENSE#(REQUIRED):Berryss857b7 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 024786 PRIMARY CONTACT: ❑OWNER El CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:253 830-3600 Mike Lee CONTACT EMAIL:mikel@berrysign.com BUILDING INFORMATION Existing Use of Building:Commercial Contract Price of Work:$9000 Proposed Use of Building: .Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑✓Sign Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Install one set of remote wired channel letters onto fascia 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 I comply with the State Contractors Law 18.27 RCW and 296.200A WAG. City of Everett Official Use Only PERMIT#%� 8.3.2021 O OOP Owner/Authorized Agent Signature Date (Revised 10/10/2018) r