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I■W PERMIT APPLICA T IO <br /> 111 <br /> BUILDIN ECHANICAL / PLUMBING / SIGN RINKLER / 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 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) ` I PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS i 601 Broadway PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Nasser Ahmadria (managing member) TENANT BUSINESS NAME(Commercial): Wells Fargo <br /> OWNER MAILING ADDRESS: sTREET8206 2nd Ave., NE <br /> c,rr Seattle STATE WA ZIP 98115 <br /> OWNER PHONE: OWNER EMAIL:ahmadrla@yahoO.COm <br /> CONTRACTOR NAME:Berry Signs <br /> CONTRACTOR ADDRESS: STREET7400 Hardeson Rd. <br /> ,ITy Everett STATE WA zip 98203 <br /> CONTRACTOR PHONE:(425)776-8835 CONTRACTOR EMAIL:matthew@berrysign.com <br /> CONTRACTOR LICENSE#(REQUIRED):BERRYSS857B7 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 024786 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) Agent <br /> CONTACT NAME: CONTACT PHONE:(205)807-3849 <br /> Steve Kirkpatrick CONTACT EMAIL:kirkpatric@aol.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:Banking Facility Contract Price of Work: $1,575.00 <br /> Proposed Use of Building:ATM plus tenant Heat Source: OGas ❑Electric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex LIADU ❑Multi-Family-#Units: ✓❑Commercial ❑Accessory Structure <br /> Type of Project: ENew ❑Addition ❑Remodel ❑Repair ❑T.I. ✓❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Modify existing monument to accomodate a tenant panel in the primary position and add Well Fargo ATM to a minor position aloe <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixture t 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/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 INo.of Heads I I I <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 Official77_ing 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 wie Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> 'r�kj� iLI,�i• —�✓'d_. « PERMIT n lip <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br />