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,w.,.t. - —....... - -- - ---- ------ . <br /> BUILDING / ��HANICAL/ PLUMBING /SIGN /�NKLER/ DEMOLITION " <br /> CITY OF EVERETT PERMIT SERVICE�:' <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 /> Blwe or Black Ir�k.O�nMy Pleasej PROJ�CT SITE INFORMATION <br /> ROJECT SITE ADDRESS:1205 SE EV2P2tt M811 Wdy SUIt2 C EV21'Ctt,WA 98208 PROPERTY TAX#: <br /> EGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) <br /> '' Cd:NTACT INFORMATION- `.`% - <br /> �wNER NAnne: ACF Property Management, Inc TENANT NAME(If Commercial): Shal'Otl)ettoll <br /> �WNER MAILING ADDRESS: srReer 12411 Ventura Boulevard <br /> cin StUdIO Clt STATE CA � Z1P 91604 <br /> �WNER PHONE: {503)222-5100 OWNER EMAIL: Sj2tt011@dCfp111.COtl1 <br /> oNTw�CTOR NAnne: Advanced Sign and Lighting <br /> ONTRACTOR ADDRESS: srReET 1 37th St.NW <br /> ciTx Auburn STATE WA z�P 98001 <br /> ONTRACTOR PHONE: (253)347-5Q39 CONTRACTOR EMAIL: asl.taylor.j@gmail.com <br /> ONTRACTOR LICENSE#(REQUIRED): ADVANSL923DP CITY OF EVERETT BUSINESS LICENSE#�REQUIRED): O <br /> RIMARY CONTACT: ❑OWNER ■CONTRACTOR ❑OTHER(Please Specify) <br /> ONTACT NAME: CONTACT PHONE: 253.243.7777 <br /> Lee Bombacie <br /> coNTACT ennA��: lee.bombacie@shineonsigns.com <br /> BUILDING PERMIT"APPLIGATION , ` <br /> xisting Use of Building: Contract Price of Wor :$ $4,250 <br /> roposed Use of Building: Heat Source: ❑Gas ■Electr� ❑Other <br /> uilding Type: ❑SFR-Detached ❑SFR-Attached �Duplex ❑Multi-Family-#of Units: ■Commercial ❑Industrial <br /> ype of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ■Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> �ESCRIPTION OF WORK: <br /> ,S f�a I�0 �¢-� � f'�Q �'1� �t �:-��J�Q 1 <br /> .SSOCIATED BUILDING PERMIT#(if applicable): <br /> ' MECHANICAL PERMIT`APPLICATION PWMBfNG PERMIT APPLICATION ` <br /> ype of Project: _New _ Addn Alteration _Repair Type of Project: _New _Addn _Alteration _Repair. <br /> #of ��st of Fixtures #of ��st of Fixtures #of List of Fi�rtures #of ��st of Fixtures <br /> °ixtures Fi�ures 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 /> SPRINKt,�R/SUI�PRESSION SYSTEM <br /> Number of Heads <br /> CKNOWLEDGEMENT:1 have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant fo this permit must comply with <br /> �rrent federal,state,and local law. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> uilding Official before being authorized under any circumstance.I am the owner,or 1 am authorized by the owner of this property to perform the work for which application is made, <br /> id 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> P IT � <br /> '.�'�?�'' ..�-�.,��.y,.�.�..� 2.21.2017 '"' �� <br /> wner/Authorized Agent ' a�ure Date (Revised 9/23/2016) � <br />