301 W MUKILTEO BLVD 76 STATION 2019-02-12

PERMIT APPLICATIOW BUILDINCSIECHANICAL/ PLUMBING /SIGN': RINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 ((E)everetteps@everettwa.gov i www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 301 Mukilteo Blvd,Everett WA 98203 PROPERTY TAX#:00606200004101 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Hwan Young, LLC TENANT NAME(If Commercial): 76 Site #881893 OWNER MAILING ADDRESS: STREET 5327-25th Ave West c'TM Everett STATE WA ZIP 98203 OWNER PHONE: (425) 231-0129 OWNER EMAIL: jinheekw@hotmail.com CONTRACTOR NAME: Insignia Sign Inc. CONTRACTOR ADDRESS: STREET PO BOX 2849 ciTY Renton STATE WA zip 98056 CONTRACTOR PHONE: (425) 917-2109 CONTRACTOR EMAIL: cthomson@insigniasign.com CONTRACTOR LICENSE#(REQUIRED): INSIGSIO62QZ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 038029-- PRIMARY 38029`—PRIMARY CONTACT: 0 OWNER ®CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: (425)917-2109 Cindy Thomson @ Insignia Sign Inc. CONTACT EMAIL: cthomson@insigniasign.com BUILDING PERMIT APPLICATION Existing Use of Building:76 Gas Station & Food Mart Contract Price of Work:$1,000.00 Proposed Use of Building:76 Gas Station & Food Mart Heat Source: ❑Gas DElectric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ®Commercial 0 Industrial Type of Project: New DAddition ❑Remodel El Repair ❑T.I. ®Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Reface existing 76 Pole Sign Cabinets- FILED UNDER PERMIT# 51806-010 :.N3 Reface 2 existing 33" Logo Signs on Canopy Fascia (no structural changes//replacing faces only). ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: New _ Addn _Alteration _Repair Type of Project: _New _Addn Alte tion _Repair, #of List of Fixtures #of List of Fixtures List of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems U r' eater Bathtub Urinal Gas Piping :oiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disp•: -I Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Wash= Medical Gas Range Hood Water Heat Other: Exhaust Fan Sink(Se ce/Bar/Mop/etc.) Other: SPRINKLER SUPPRESSION SYSTEM Chemical or Water No.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 authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the Building Official before being authorized under any circumstance.t am the owner,or I am authorized by the owner of this property to perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only eia `1h.00aoot (Contractor &Agent) 08/21/18 PEST sg0g -'arD1.2 "" -- Owner/Atfthorized Agent Signature Date (Revised 9/23/2016) 99 jj