1920 MERRILL CREEK PKY STAGING AND DESIGN NETWORK 2018-11-15

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: �9ZO M@I'C'III CI'G@IC PIM/�/ PROPERTY TAX#: LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION owNeR NannE: Staging & Design Network TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTReer 1920 Merrill Creek Pkwy �,n Everett STATE WA ziP 98203 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: B@fl)/Slgll SySt@RlS CONTRACTOR ADDRESS: sTREET 7400 Hardeson Rd ciTv Everett sTn�WA zia 98203 CONTRACTOR PHONE: 425.776.8835 CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): beffy5S857b7 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):O247HG PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425.776.8835 X ��4 Tracie Skiles CONTacT ennAi�:tracies@berrysignsystems.com BUILDING PERMIT APPLICATION Existin Use of Buildin : Contract Price of Work:$8O9'I.00 Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Buildin T pe: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Famil -#of Units: ❑Commercial ❑Industrial T pe of Pro'ect: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. QISi n ❑Sprinkler ❑Demolition ❑Chan e of Use DESCRIPTION OF WORK: install one wall sign 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 ��st of Fixtures #of �ist of Fixfuies #of List of Fi�rtures #of List of Fixfures Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air S stems 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 Number of Heads ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and coirect.WoNt done pursuant to this permit must comply with current federal,state,and local law. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must Frst be authorized in widing from the Building O�cial before being authorized under any circumstance.I am the owner,or I am authorized by the owner of this property to perform the work for which application is made, an comply with the State Contractors Law 18.27 RCW and 296.200A WAC. ;' ; j� City of Everett Official Use Only �' %F �'' ` � � ' PERMIT# � ;I l �,�l 1 ' ,�" / �•� ,+ �/�i,,°3. pwn�fdAJtho d Agent Signature ate �� (Revised 9/23/2016J / � �