10121 EVERGREEN WAY ESC MATTRESS 2018-05-15

PERMIT APPLICATIOf�i BUILDING I �CHANICAL/ PLUMBING /SIGN / I�2INKLER/ 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.govlpermits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: �O�Z� EV@I'gr@@tl Way#3O PROPERTY TAX#: LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) CONTACT IN�ORMATION OWNER NAME: ESC Mattress Center TENANT NAME(If Commercial): OWNER MAILING ADDRESS: s�xe� 10121 Evergreen Way#30 �,n Everett STATE WA ziP 98204 OWNER PHONE: OWNER EMAIL: coNTw4croR Nanne: Berry Sign Systems CONTRACTOR ADDRESS: srnEer 7400 Hardeson Rd crrv Everett STATE WA z�P 98203 CONTRACTOR PHONE: 425.776.8835X114 CONTRACTOR EMAIL: tl'BCIeS be si ns stems.com CONTRACTOR LICENSE#(REQUIRED): b@I'PySS857b7 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):OL47H6 PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425.776.8835 x114 TraCle SICII@S CONTACT EMAIL:traCleS@beY't'ySySt@171S.00�'1 BUILDING PERMIT APPLICATION ' Existing Use of Building: Contract Price of Work:� 11712.00 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. Q1Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: install 2 lit wall signs ASSOCIATED BUILDING PERMIT# if a licable : MECHANICAL PERMIT APPLICATION . PLUMBING PERMIT APPLICATION Type of Project: _New Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair #of List of Fixtures #�f List of Fixtures #of List of Fixtures #°f List of Fixtures Fintures Fixtures Fi�ctures Fixtures A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavato Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fire lace Wood Stove Kitchen Sink&Disposal Grease Tra 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/$UPPRESSION SYSTEM . Number of Heads 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 current federal,state,and local law. The granting of a permit only aufhorizes approved work and no deviations therefrom.Deviations must�rst be authorized in writing from the Building O�cial before being authorized under any circumstance.1 am the owner,or 1 am authorized by the owner of this property to perform the work for which application is made, and I comply with the Stafe Contractors Law 18,27 RCW and 296.200A WAC. City of Everett O�cial Use Only ` PERMIT# � �� I � + ,K,.� Ow er/A ed ent gnature a (Revised 9/23/2096) ,� ��