7601 EVERGREEN WAY HEAR USA 2018-05-15

PERMIT APPLICATIO 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: 7601 EVERGREEN WAY SUITE B005A PROPERTY TAX#: 28050700306700 LEGAL for new construction: Short PlaVsubdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: HEAR USA TENANT NAME(If Commercial): HEAR USA OWNER MAILING ADDRESS: srREeT 7601 EVERGREEN WAY SUITE 6005A cirv EVERETT sTnre WA ziP 98203 OWNER PHONE: OWNER EMAIL: CONTR�4CTOR NAME: NATIONAL SIGN CORP CONTRACTOR ADDRESS: srReeT 1255 WESTLAKE AVE N c�7v SEATTLE STATE WA z�P 98109 CONTRACTOR PHONE: (206� 282-0700 CONTR,4CTOR EnnA��: STEVEZ@NATIONALSIGNCORP.COM CONTRACTOR LICENSE#(REQUIRED): NATIOSC031 M3 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 003006 PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: �206�282-0700 STEVE ZAMBERLIN CONT,4CT Enn,4i�: STEVEZ@NATIONALSIGNCORP.COM BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ 2,975.00 Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: �Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. �Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: INSTALL ONE SINGLE FACE ILLUMINATED WALL SIGN DISPLAY 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 Handlin Units Heat Pump Toilet Backflow Preventer(Inside Bld ) 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 Ran e Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM Chemical or Water No. of Heads ACKNOWLEDGEMENT I have reviewed this application and confirm fhe information contained herein is true and correct. Work done pursuant to this permit must comply with current federal.state.and/ocal 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 befor eing uthorfiz2d under any circumstance.I am the owner,or/am authorized by the owner of this property to perform the work for which application is made. and I comply with the tate ntra¢tors Law 18.27 RCW and 296.200A WAC. � � City of Everett Official Use Only l� PERMIT# �' I � � � �° 3/27/2017 � � �,� �� -- �� ' Owner/Authori ed e' Signature Date (Revised 9/23/2016) �d� � � , �