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PERMIT APPLICATION■ <br /> iifetoT:fil BUILDING/ MECHANICAL i PLUMBING/SIGN /SPRINKLER/DEMOLITION <br /> I'*"►' CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov( www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SI1_.____,_` (0 M.. ,rrill Creek Pkwy 5970 PROPERTY TAX#: <br /> LEGAL for new constructttTShort Plat/subdivision Lot No. (attach copy of long legal description) <br /> "`"r CONTACT INFORMATION <br /> OWNER NAME: Integrated Holdings LLC TENANT NAME(If Commercial): LMI Aerospace <br /> OWNER MAILING ADDRESS: STREET 22310 20th Ave SE <br /> CITY Bothell STATE WA ziP 98021 <br /> OWNER PHONE: 206-579-2612 OWNER EMAIL: <br /> CONTRACTOR NAME: City Lites Neon <br /> CONTRACTOR ADDRESS: STREET 902 NW 49th St <br /> crry Seattle STATE WA ziP 98107 <br /> CONTRACTOR PHONE: 2067894747 CONTRACTOR EMAIL: Sarah@citylightssign.com <br /> CONTRACTOR LICENSE#(REQUIRED): CITYLN1099DG CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 041415 <br /> PRIMARY CONTACT: 0 OWNER VICONTRACTOR 0 OTHER(Please Specify) <br /> ....--) <br /> CONTACT NAME: CONTACT PHONE: 206-789-4747 <br /> Sarah Terry CONTACT EMAIL: sarah@citylightssign.com <br /> BUILDING PERMIT APPLICATION f <br /> Existing Use of Building:399 other misc manufacturing NEC Contract Price of Wor :$ 2800 <br /> Proposed Use of Building: n/a Heat Source: ❑Gas 0 ctric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair DTI. t?Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Manufacture and install (1 ) non-illuminated wall sign for LMI Aerospace <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New _ Addn _Alteration _Repair Type of Project: _New _Addn Alteration _Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures 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 /> SPRINKLER/SUPPRESSION SYSTEM <br /> Chemical or Water I No.of Heads <br /> 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 <br /> current 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 /> Building Official 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, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> f q (ca d005 <br /> Owner/Authorized ?� anatur <br /> (Revised 923/2016) <br /> I/2 <br />