10115 EVERGREEN WAY PEP BOYS 2024-04-02

477- PERMIT APPLICATION • BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (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: 1 0115 EVERGREEN WAY PROPERTY TAX#: LEGAL for new construction Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: ROIC WASHINGTON LLC TENANT NAME(If Commercial): PEP BOYS OWNER MAILING ADDRESS: STREET 10121 EVERGREEN WAY cnv EVERETT STATE WA ZIP 98204 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: NATIONAL SIGN CORPORATION CONTRACTOR ADDRESS: STREET 1541 S 92ND PL cr r SEATTLE STATE WA zie 98108 CONTRACTOR PHONE: 2062820700 CONTRACTOR EMAIL: STEVEZ@NATIONALSIGNCORP.COM CONTRACTOR LICENSE#(REQUIRED): NATIOSC133MS CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 2063802854 STEVE ZAMBERLIN CONTACT EMAIL: STEVEZ@NATIONALSIGNCORP.COM BUILDING PERMIT APPLICATION Existing Use of Building: Contract11g Price of Work:11980 Proposed Use of Building: al 5o°rce. ❑Gas ❑Elechiu ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: 0Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. 0Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: INSTALL THREE SINGLE FACE ILLUMINATED WALL SIGN,DOUBLE FACE ILLUMINATED UNDER CANOPY SIGN,REPLACE EXISTING FACES ON EXISTING PYLON SIGN, ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New Addn _Alteration Repair Type of Project: New _Addn Alteration _Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink& Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood _Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/ SUPPRESSION SYSTEM Number 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 Offici I befere 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! e State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only 6/3/22 PERMIT 22000-o 12— Own / hi zed Agent Signature Date (Revised 9/23/2016)