2505 PACIFIC AVE LOWES 2018-12-19

PERMIT APPLICATION BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES OL 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 (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 2505 Pacific Avenue PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Lowe's Home Improvement Centers, Inc. TENANT NAME(If Commercial): Lowe's Home Improvement Center OWNER MAILING ADDRESS: STREET 1605 Curtis Bridge Road CITY Wilkesboro STATE NC ZIP 69138 OWNER PHONE: 206-218-3449 OWNER EMAIL: john.f.clum@lowes.com CONTRACTOR NAME: Mid-South Subcontractors, Inc. DBA Mid-South Roof Systems �• I '�, 1) 12 i 1, CONTRACTOR ADDRESS: STREET 5020 Old Dixie Road (Mailing: PO Box 45717,Atlanta,GA 30320) 30297 CITY Forest Park STATE GA ZIP CONTRACTOR PHONE: 404-361-5154 CONTRACTOR EMAIL: karip@mid-southroof.com CONTRACTOR LICENSE#(REQUIRED): MIDSORS936N9 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑ OWNER ❑x CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: Kari Pizzini, Permitting/Licensing Questions CONTACT PHONE: 404-361-5154 Kari's Direct Line 470-233-3906 Wayne Phillips: Roofing/Onsite?-404-787-7850 CONTACT EMAIL: karip@mid-southroof.com BUILDING PERMIT APPLICATION Existing Use of Building: Mercantle Contract Price of Work: $ $289,869 Proposed Use of Building: Mercantile Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: MCommercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ®Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Commercal Reroof-see attached scope of work 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 #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 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:t have reviewed this application and confirm the information 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 authorized in writing from the 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, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC City of Everett Official Use Only PERMIT# Owner/Authorized Ag nt Signature D to (Revised 5/20/2016) 1 I