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PERMIT APPLICATION <br /> /11 .' BUILDING i MECHANICAL I PLUMBING 1 SIGN /SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> - 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.govipermits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 905 80th Street SW PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION . • <br /> OWNER NAME: Mtorres America TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 21520 30th Drive SE <br /> cry Bothell STATE WA zip 98021 <br /> OWNER PHONE: 425-984-2700 X118 OWNER EMAIL: mkingsley@mtorresamerica.com <br /> CONTRACTOR NAME: McNamara Sirs .i...h.4uscy i LS T-Ke...., <br /> CONTRACTOR ADDRESS: STREET 14058 Lake City Way <br /> CITY Seattle STATE WA zip 981 <br /> CONTRACTOR PHONE: 206-284-96— O%O1 CONTRACTOR EMAIL: mike@mcnamarasigns.comlob <br /> CONTRACTOR LICENSE#(REQUIRED): CC MCNAM*031D4 CITY OF EVERETT BUSINESS LICENSE#(REQUIRE : ►_ 4" <br /> PRIMARY CONTACT: ($OWNER 0 CONTRACTOR 0 OTHER(Please Specify) 1. i ' <br /> CONTACT NAME: Michael Kingsley CONTACT PHONE: 425-984-2700 X118 ! •.. / <br /> CONTACT EMAIL: mkingsley@mtorresamercia.corn <br /> BUILDING PERMIT APPLICATION • <br /> Existing Use of Building: Contract Price of Work:$ 7,250.00 <br /> Proposed Use of Building: Heat Source: ❑Gas ❑Eleotric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial [llndustrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ®Sign ❑Sprinkler El Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Install 1 6'x15` Dimensional letter sign onto metal siding (Mesa DM40 Wall panels) <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING.PERMIT APPLICATION <br /> Type of Project: New — Addn Alteration Repair Type of Project: _New _Addn Alteration _Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C--Air Handling Units- Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting _ Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> ^ <br /> SPRINKLER/:SUPPRESSION SYSTEM <br /> Chemical or Water 1 No.of Heads • <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 granting of a permit only authorizes approved work end no deviations therefrom Deviations must first be authorized in writing from the <br /> Building Official before being authorized under any circumstance.lam the owner,or!am authorized by the owner of this property to perform the work for which application Is made, <br /> and 1 comply with the State Contractors Law 18.27 RCW and 298,200A WAC. <br /> City of Everett Official Use Only <br /> r lam+—/� PER r)C)L ' co2. <br /> Owner/Au 1•riff Agent Signature Date (Revised 9/23/2016) <br /> IFP <br />