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PERMIT APPLICATIO��. <br /> BUILDIN�I�IIECHANICAL/ PLUMBING /SIGN I �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 /> � _.. . ,_ ; � - <br /> (Blue o?lwBfack[nk Only P�ea��j.;: PR�,JE�'f�SITE INFOR�I�'��4N. � <br /> PROJECT SITE ADDRESS:3726 BROADWAY AVE, STE 107 PROPERTY TAX#:O�60600000�O <br /> LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) <br /> , <br /> _.s ���"�"���'I.M:FI?RMA ..M�......... <br /> � ".. . ......_..s..._s .u� .. .' ��. ......... ._._ .....,. ..� .,. �.�3 <br /> . . . ... . . . .. .. , .. ...... ..—..._....,. .. ,... . .�..... .... ...._. ,. �e .. <br /> owNeR Nanne: MPG GATEWAY CENTER, LLC TENANT NAME(If Commercial): HEARUSA <br /> OWNER MAILING ADDRESS: sTReeT 3732 BROADWAY AVE <br /> �,n EVERETT STATE WA Z,P 98201 <br /> owNeR PHONE:425-259-5066 OWNER EMAIL: <br /> coNTRacTOR Nanne; NATIONAL SIGN CORPORATION <br /> CONTRACTOR ADDRESS: srRee-r 1255 WESTLAKE AVE N <br /> ��n SEATTLE STATE wA Z�P 98109 <br /> CONTRACTOR PHONE:2OG-ZHZ-O700 CONTRACTOR EMAIL: SteVeZ q�tlatlOflalSlgllC01'p.001'Tl <br /> CONTRACTOR LICENSE#(REQUIRED): NATIOSCO3'I M3 CITY OF EVERETT BUSINESS LICENSE#�REQUIRED):003006 <br /> PRIMARY CONTACT: ❑OWNER [�CONTRACTOR ❑OTHER(Please Specify) <br /> coNTacr Nanne: STEVE ZAMBERLIN CONTACT PHONE: 2O6-3SO-ZH54 <br /> coNTacr ennAi�:stevez@nationalsigncorp.com <br /> �-_ _ _. , <br /> ..: <br /> ' ` ' BU1L��19�"a_;;PERMIT APP���i��"��1+1 ;; <br /> Existing Use of Building: 506 COML CONDO-SERVICES Contract Price of Work:$ -� <br /> Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other <br /> Building Type: OSFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ["$Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. L�Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> �escRiPTioN oFwoRK: REFACE (1) EXISTING WALL SIGN AND INSTALL (1) TENANT PANEL IN EXISTING <br /> PYLON. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT:A�PLICATION .;. . :v: PLUMBING PERMIT Ai!P�.ICATION -. ,: "- <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 /> AJC—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 /> SPRINKLER/SUPPRESSION SYSTEM <br /> Chemical or Water 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. T granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> Building Official before being uthori e under ny circumstance.I am the owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State ontra o La 8.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT#`� ,�/� �`- � <br /> 12/27/17 V i� ��� �V I ; � Z `' <br /> Owner/Authorized gen Sign re Date (Revised 9/23/2016) <br />