15 SW EVERETT MALL WAY EDWARD JONES 2018-05-29

PERMIT APPLICATION BUILDING / MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 � FAX 425-257-8857 �(E)everetteps@everettwa.gov� www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 15 SW EVERETT MALL WAY SUITE F PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: EDWARD JONES TENANT NAME(If Commercial): EDWARD JONES OWNER MAILING ADDRESS: srREer 1245 JJ KELLY MEMORIAL DR ciTv ST LOUIS srare MO ziP 63131 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: HORIZON RETAIL CONSTRUCTION CONTRACTOR ADDRESS: srREer 1500 HORIZON DR c�r STURTEVANT STATE W� z�P 53177 CONTRACTOR PHONE:262-865-6149 CONTRACTOR EMAIL:TRACYGALKOWSKI TWC.COM CONTRACTOR LICENSE#(REQUIRED):601-483-044 CITY OF EVERETT BUSINESS LICENSE#(REQUIRE : 043526 PRIMARY CONTACT: ❑ OWNER � CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 262-865-6149 TRACY GALKOWSKI CONTACT EMAIL:TRACYG@HORI,�fdf?ETAILCOM BUILDING PERMIT APPLICATIO Existing Use of Building:VACANT-FIRST TIME TENANT Contract Price of Woyk:$ 30,000.00 � Proposed Use of Building: FINANCIAL OFFICE Heat Source: ❑G s ❑Electric ;9❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Unit �: Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair �T.I. ❑Sign ❑Sprinkl ��molition ❑Change of Use DESCRIPTION OF WORK: INTERIOR REMODEL 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 Fixtures List of Fixtures Fixtu es ��st of Fixtures #�f List of Fixiures #of Lisi of Fixtures Fixtures Fixiures 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 Chemical or Water No.of Heads ACKNOWLEDGEMENT:1 have reviewed this application and confirm the information contained herein is true and correcf. Work done pursuant to fhis permit must comply with current federal,state,and local law. The g�anting of a permit only authonzes approved work and no deviations theref�om.Deviations must first be authorized in writing from the Building Official before being authorized under any circumstance.I am the owner,or l am authonzed by the owne�of tl�is property to perform the work for which application is made, and 1 comply with the State Cont�actors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only � , � PE # � r. O�� OwnerlAuthoriz d ent Signature Date (Revised 9/23/2016) ��