406 SE EVERETT MALL WAY SUITE 103 BEST TIRES INC 2017-01-13

PERNiIT APPLICATIO BUILDIN�IIECHANICAL / PLUMBING 1 SIGN 'RINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits CONTACT INFORMATION OWNER NAME: TENANT NAME (If Commercial): �� OWNER MAILING ADDRESS: sTREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: 1 '{�- f. � C' 1,% � � G" CONTRACTOFt ADDRESS: sTREET �J �� " � / N CITY STATE �LJ� � ZIP � O,� �. CONTRACTOR PHONE: Z�'G,�' �� ' ��7 CONTRACTOR EMAIL: /b�I 1itJ� /�� 2�'�S f�iij, ti� CONTRACTOR LICENSE #(REQUIRED): �i�C- M�' �`-� � G�ON� Z- CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): PRIMARY CONTACT: ❑ OWNER �ONTRACTOR ❑ OTHER (Please Specify) -- /� �D � CONTACT NAME: CONTACT PHONE: Z � �O "- �j'l � "' � �� �/�� 7� � it �'V i�j�- CONTACT EMAIL: �N,( j�„7/�} �j j� z�J,� �' . j�f�.� i l r�D� BUILDING PERMIT APPLICATION � Existing Use of Building: ,�` -1 � Contract Price of Work: $ C`7�>� Proposed Use of Building: ` li,,� Heat Source: Ii�as ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-# of Units: E�ommercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: �� f � � �1 �� x• �5y� �G-�iz-� J � � a� IGC �"� L.% N t `� 'Yt�L �7 � � L� C�,' ��2- �� i `J � 1 oti'� L.t=} i � Vl IL+ � � C-'l iL�C.`� (� �N �t 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 #�f List of Fixtu�es #�f List of Fixfures ��f List of Fixtures # of List of Fixfures Fixtures Fixfures Fixfures Fixfures 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: 1 have reviewed this application and confirm the info�mation 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 aufhorized in w�iting from the Building Official before being authorized under any circumstance. I am the owner, or 1 arn authorized by the owner of this properiy to perform the work for whicir application is made, and l comply with the State Contractors Law 18.27 RCW and 296.200A WAC. Y� ', •- ! ^ 7r ! �(/ Owner/Authorized Agent Signature uate City of Everett Official Use Only PER�� _ D i � (Revised 5/20/2016)