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• <br />PERMIT <br />• <br />APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 vwvw.everettwa.org <br />iITE ADDRESS: <br />1001 Shuksan Way, Everett WA 98203 <br />L for new construction: Short PlaUsubdivisi <br />PROPERTY TAX p <br />PERMIT # <br />Lot No. (attach copy of long Iegal description) <br />� <br />R Development Services of America, SGA Corp. �Phone,E-ma;,428-407-6040 matt_peltzer@fsafood.com <br />�ess 1001 Shuksan Way <br />c�cyiscaceiz�P Everett WA 98203 <br />LICANT: _ Owner _ Owner's Agent �✓ Contractor _ Contractor's Agent _ Tenant ��.,�5i Pro���� �, ieuer or �0�,5��� aom ine �w��� �o no w��k �� ir,E• 5��,��:; <br />iTRa,cTOR Trade-Marx Sign & Display state �ic. # TRADESD1130M cicy Bus. �ic. # 022846 <br />;SS818 S Dakota St, Seattle WA 98108 Pno�eiEma�i206-623-7676 info@trade-marx.com <br />ANT BUSINESS NAME CONTACT FOR PERMIT <br />Food Services of America 206-679-3972 tony@trade-marx.com <br />Phone/E-mail <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK $9,000.00 <br />Existing Use of Building HEAT SOURCE: <br />Proposed Use of Building Gas Electric Other_ <br />Building type: Single Family _ Duplex _Townhouse _ Multi-Family ✓Q Commercial <br />Type of project: �✓ New Addition Remodel Repair T.I. Siqn Sprinkler Demolition Chanqe of Use <br />DESCRIPTION OF WORK (additional space provided on the back) : <br />Install signage per plan (attached). <br />MECHANICAL PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />j Exhaust fan <br />Heat pump <br />Unit heater <br />j Boiler <br />Refrigeration <br />Woodstove <br />Ducting <br />Other <br />SPRINKLER / SUPPRESSION SYSTEM <br />Number of Heads <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New_Addn _Alteration _Repair <br />Show Number (#) of fixtuies <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/mop/etc.) <br />Backflow preventer (inside bldg <br />Urinal <br />i Drinking Fountain <br />Floor drain <br />' Grease trap <br />Roof drains <br />Medical Gas <br />Other: <br />' Other: <br />I hereby certify that I have read and examined this application and know the same to be lrue and correct All provisions of laws and ordinances goveming this type ot work will be comp <br />with whether specifed herein or not. The granting of a permit does not presume to give auihonty to violate or cancel the provision of any other stale or local law regulating construc�ion <br />That I am au�honzed by the owne� of this property to perform the work forwhich application is made and I comply with the State Contractors Law 1827 RCW and 296,200A WAC <br />����%-�b 5/8/ 15 �I Z <br />OwnerlAuthorized Agent Signature Date (Revised 4/2015) <br />