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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 -425-257-8810—FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS: 221 SE Everett Mall Way, Suite M2 1PROPERTYTAX#0086397 PERMIT tj(4 I(6—O' E 01 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER PHILLIPPS KENNETH E ATTY Phone/E-mail <br /> Address 221 SE Everett Mall Way, Suite M2 city/state/zip Everett, WA 98208 <br /> CONTRACTOR Sign-Tech Electric L&I Lic.# S INTEL 986 51- <br /> Address 5009 Pacific Hwy E,Ste 11,Fife,WA 98424 Phone/Email 253-922-2146 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Red Wing Shoes <br /> Phone/E-mail Richard rich@signtechelectric.com <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK $1,200 <br /> Existing Use of Building Retail HEAT SOURCE: <br /> Proposed Use of Building Retail Gas Electric_ Other <br /> Building type: Single Family Duplex_Townhouse Multi-Family X Commercial <br /> Type of project: New _Addition Remodel Repair T.I. X Sign Sprinkler Demolition Change of Use <br /> Description of Work(additional space provided on the back): <br /> i INSTALLING (1) ILLUMINATED CHANNEL LETTER SIGN AND (2) TENANT PANELS <br /> INTO AN EXISTING MULTI TENANT SIGN. HOOK UP TO EXISTING ELECTRICAL <br /> Have you started working without a permit? _YES .A NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_Addn Alteration_Repair Type of Project: _New Addn _Alteration_Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> A/C—air handling units Toilet <br /> Forced air systems Bathtub <br /> Gas piping Lavatory(wash basin) <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hood Water heater <br /> Exhaust fan Sink(service/bar/mop/etc.) <br /> Heat pump Backflow preventer <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER/SUPPRESSION SYSTEM Other: <br /> Number of Heads Other: <br /> I hereby certify that I have read and examined this application and know the same to be true and correct.All provisions of laws and ordinances governing <br /> this type of work will be complied with whether specified herein or not.The granting of a permit does not presume to give authority to violate or cancel <br /> the provision an`ther state or to . . regulating nstruction or the erformance of construction.That I am authorized by the owner of this property <br /> to perfor ir or which.••• ati• is made d I comply with the ate Con ctors Law 18.27 RCW and 296.200 WAC <br /> Owner/ thorized Agent Signature D (Revised 2/2011) <br /> e p ' <br />