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PERMIT APPLICATION <br />BUILDIN(�ECHANICAL / PLUMBING / SIGN �RINKLER / DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits <br />PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: 3O9 EqSt CqS1110 ROqd PROPERTY TAX #: OOSgS%OOOOO� O� <br />LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: M0118�tfeB, IIl(. TENANT NAME (If Commercial): MOf18 tCeB <br />OWNER MAILING ADDRESS: sTReeT 6120 Fort Dent Wa Suite# 230 <br />��n Seattle STATE WA Z�P 98188 <br />OWNER PHONE: OWNER EMAIL: <br />CONTRACTOR NAME: �I1S1 nia Sign Inc. <br />CONTRACTOR ADDRESS: sTReeT PO BOX 2849 <br />o�n Renton STATE WA Z,P 98056 <br />CONTRACTOR PHONE: �4ZS�9�%-Z�O9 CONTRACTOR EMAIL: StEVetl@iI1S19f11Q51gtt.COfi1 <br />CONTRACTOR LICENSE #(REQUIRED): INSIGSIO6ZQZ CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): � OeC <br />PRIMARY CONTACT: ❑ OWNER � CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: CONTACT PHONE: �4Z5�917-21 O9 <br />Npte Car#as @ Insignia Sign Inc. coNracT eMai�: nate@insigniasign.com <br />BUILDING PERMIT APPLICATION <br />Existing Use of Building: CI12CI( COSlllll Contract Price of Work: $%,5��.�0 <br />Proposed Use of Building: CIIeCI( CqSlllll Heat Source: ❑Gas ❑Electric ❑Other <br />Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-# of Units: �Commercial ❑Industrial <br />Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ISDSign ❑Sprinkler ❑Demolition ❑Change of Use <br />DESCRIPTION OF WORK i Remove & discard existing Moneytree neon wall sign and install new Moneytree Logo cabinet & Moneytree channel letterst (SEE DRAWINGS FOR SOW): <br />B Remove & discard ezisting Moneytree neon wall sign and install new Moneytree Logo cabinet & Moneytree channel letterst (SEE DRAWINGS FOR SOW): <br />� Remove & dismrd existing 2' x 18' Moneytree neon wall sign. <br />ASSOCIATED BUILDING PERMIT #(if a licable): <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration Repair <br /># of List of Fixtures # of List of Fixtures <br />Ffxtures Fixiures <br />Toilet Backfiow Preventer (Inside Bldg) <br />Bathtub Urinal <br />Lavatory (Wash Basin) Drinking Fountain <br />Shower Floor Drain <br />Kitchen Sink & Disposal Grease Trap <br />Dishwasher Roof Drains <br />Clothes Washer Medical Gas <br />Water Heater Other: <br />Sink (ServicelBar/Mop/etc.) Other: <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 qranting of a permit onfy authorizes approved work and no deviations therefrom. Devfations must first be authorized m writing irom the <br />Building Official before being authorized under any circumstance. f am the owner, or 1 am authorized by the owner of this propeRy to perform the work for which application is made, <br />and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />/Vc,te G�r�r,tG� (Contractor & Aqent) 08/23/16 <br />OwnerlAuthorized Agent Signature Date <br />City of Everett Offrcial Use Only <br />PERMIT / � I � 1 � <br />l <br />(Revrsed 12/20 5) <br />