8402 BROADWAY 2017-10-03 - Laserfiche WebLink

PERMIT APPLICATION• BUILDING / MECHANICAL/ PLUMBING / SIGN / SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www,everettwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 8402 Broadway,Everett WA 9820$ 1 PROPERTY TAX#: 00393900601501 LEGAL for new construction: Short Plat/subdivision Lo:No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Shin In Bom TENANT NAME(If Commercial): Broadway Shell OWNER MAILING ADDRESS: STREET 8402 Broadway U TY Everett STATE WA zip 98208 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Insignia Sign Inc CONTRACTOR ADDRESS: STREET PO BOX 2849 cnY Renton STATE WA Z,P 98056 CONTRACTOR PHONE: (425)917-2109 CONTRACTOR EMAIL: steven@insigniasign.com CONTRACTOR LICENSE#(REQUIRED): INSIGSI062QZ ICITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 2G PRIMARY CONTACT: ❑OWNER ®CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: 1.�� CONTACT PHONE: (425)917-2109 , Steven Thomson @ Insignia Sign Inc. /ulvAl CONTACT EMAIL: insigniasign.(om BUILDING PERMIT APPLICATION Existing Use of Building. Shell Gas Station & Food Mart Contract Price of Work: s 30 000.00 Proposed Use of Building:Shell Gas Station & Food Mart lHeat Source ❑Gas []Electric ❑Other Building Type ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units iXlCommerc�al ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T L ®Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: ®Reface existing Shell RVI logo faces with new Shell RVIe logo faces;Remove existing gas price sign cabinet&install new LED/FRN gas price sign cabinet(SEE DRAWINGS FOR SOW): ®&®Install 2 new 4'-0"x4'-O"LED illuminated Shell wall signs(1 on North canopy elevation&1 on South canopy elevation): ASSOCIATED BUILDING PERMIT#(if applicable)_® Install 1 new 2'-71/2"x8'-10"non-illuminated Food Mart wall sign on front of food mart building: 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 Preventev(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boller Lavatory(`fVash Basini Drinking Fountain Water Heater Refngeration Shov: er Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dish,,vasher Roof Drains Clothes Dryer Hookups Other Clothes flasher Medical Gas Range Hood Water Heater Other- Exhaust Fan Sink(SesvicetBar Nlop,ete.) Other: SPRINKLER/ SUPPRESSION SYSTEM Number of Heads ACKNOWLEDGEMENT I have reviewed this apphcaWn and confirm the information contained herein is true and correct WoM clone pu,suant to this permit must comply mth current fedeiat,state,and local law. The granting of a permit only authonzes approved words and no deviations therefrom.Deviations must first be,authorized in writing from the Building Official before being authonzed under any circumstance.t am the owner.or d am authorized by the owner of this property to perform the wont for which application is made, and d comply with the State Contractors Law 18.27 RCW and 296 200A WAC. City of Everett Official Use Only PERMIT`# siert <7400"O*z (Contractor&Agent) 07/27/16 Owner/Authorized Agent Signature Date (Revised la,'12/2015)