Laserfiche WebLink
rilfr--._ PERMIT APPLICATIOfI— Ac )"1c <br /> BUILDINGS ECHANICAL/ PLUMBING /SIGN ' —RINKLER/ DEMOLITION <br /> ' ' CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) `<<-. PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 221 Southeast Everett Mall Way, Suite M2 PROPERTY TAX#: 0086397 (00480201201200) <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Shilla Inc. TENANT NAME(If Commercial): Red Wing Shoes <br /> OWNER MAILING ADDRESS: STREET PO Box 997 <br /> cITY Snoqualmie STATE WA ZIP 98065 <br /> OWNER PHONE: 425-888-2993 OWNER EMAIL: trish@mkps.net <br /> CONTRACTOR NAME: ( r") (./k1 <br /> CONTRACTOR ADDRESS: STREET <br /> / <br /> CITY , STATE ZIP <br /> CONTRACTOR PHONE: 1 �( TI OR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): �-6;1-bet® -' ✓! : : p-t CITY OF EVERETT BUSINESS LICENSE#(REQUIRED) <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRAC IR '% OTHER(Please Specify) Alan J Plutowski Architect <br /> CONTACT NAME: ' t) I) / A' <br /> \ CONTACT PHONE: 763-533-7171 x 14 <br /> Dan Cayemberg ' CONTACT EMAIL: dcayemberg( twparchitects.com <br /> BUILDING PERMIT APPLICATION _.„)J, <br /> Existing Use of Building:Vacant Ofc Contract Price of Work: vv0 `IC t 0,coo.0/ <br /> Proposed Use of Building: Retail rk shoe & boot sales Heat Source: ❑Gas 0Electric ❑Other <br /> Building Type: ❑SFR-Detache ❑SFR-Attached 0 Duplex ❑Multi-Family-#of Units: f7Commercial 0 Industrial <br /> Type of Project: El New El Addition ❑Remodel ❑Repair L21T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Interior remodeling of existing tenant space for a new retail tenant including I' -. ••- -•' - , . • • -•= - - ' - :•= .cking. <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 /> o A/C—Air Handling Units 0 Heat Pump 0 Toilet 0 Backflow Preventer(Inside Bldg) <br /> 0 Forced Air Systems 0 Unit Heater 0 Bathtub 0 Urinal <br /> O Gas Piping 0 Boiler 0 Lavatory(Wash Basin) 0 Drinking Fountain <br /> 0 Water Heater 0 Refrigeration 0 Shower 0 Floor Drain <br /> 0 Gas Fireplace 0 Wood Stove 0 Kitchen Sink&Disposal 0 Grease Trap <br /> 0 Gas Range 0 Ducting 0 Dishwasher 0 Roof Drains <br /> O Clothes Dryer Hookups 0 Other: 0 Clothes Washer 0 Medical Gas <br /> o Range Hood 0 0 Water Heater 0 Other: <br /> 0 Exhaust Fan 0 0 Sink(Service/Bar/Mop/etc.) 0 Other: <br /> 0 0 0 <br /> SPRINKLER/SUPPRESSION SYSTEM o 0 <br /> 0 (Chemical or Water '0 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 com.ly with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT#`n i W'- <br /> 60(0 ,..,„ <br /> 7�• August 2, 2018 li/J�II - <br /> Owner/Authori d gent Sign ure Date (Revised 9/23/2016) <br />