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(001[77 • PERMIT APPLICATION• <br /> BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:53° sa Everett Mall Way Everett WA 9820'PROPERTY TAX#: *- CliTh <br /> LEGAL for new construction: Short Plat/subdivision Lot No. ((attach copy of lloong)legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: WA Sang Associates TENANT NAME(If Commercial): Sleep Train <br /> OWNER MAILING ADDRESS: STREET 530 SW EverettQ11Way <br /> CITY Everett STATE WA ZIP 98204 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: The Sign Post, Inc. — <br /> CONTRACTOR ADDRESS: STREET 2019 E. Bakerview Rd <br /> CITY Bellingham STATE WA ZIP 98226 <br /> CONTRACTOR PHONE: 360-671-1343 CONTRACTOR EMAIL: lorie@the-signpost.corn <br /> CONTRACTOR LICENSE#(REQUIRED):5 t PI*CAC.cro P t\ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):C I ZW/ <br /> PRIMARY CONTACT: 0 OWNER IX CONTRACTOR In OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: <br /> CONTACT EMAIL: <br /> BUILDING PERMIT APPLICATION <br /> Retail 15,000 <br /> Existing Use of Building: Contract Price of Work: $ <br /> Proposed Use of Building: Heat Source: ❑Gas DElectric DOther <br /> Building Type: DSFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: L Commercial ❑Industrial <br /> Type of Project: ❑New DAddition DRemodel DRepair ❑T.I. ISign ❑Sprinkler DDemolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> t11JA-et1Lline t i; -,15.:,9-\ Oct tlr n J� <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New _ Addn _Alteration Repair Type of Project: _New _Addn _Alteration _Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> NC-Air Handling Units Heat Pump _ Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> _Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> Number of Heads <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 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, <br /> and l c-reply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> f City of Everett Official Use Only <br /> 1 J r y t/ I PERMIT i000 <br /> Q_ er/ rl Ag nt Signa Date (Revised 10/12/201W <br /> \Ia <br />