221 SE EVERETT MALL WAY RED WING SHOES 2019-03-21

IPERMIT APPLICATION Te, /1.-.,,,P-ABUILDING / MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Slue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:,IOC I $6"&-i4 7r jy)gL iyY9 2 PROPERTY TAX It: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commercial): t /f_/ .0<j4 r--- OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: 'CONTRACTOR NAME: 71 /LO/23 &It/j�/„j`./Ut j L ct -✓5 CONTRACTOR ADDRESS: STREET 7.2 Z CITY `4, S7 2/ ti_s STATE 1,e 4"/ ZIP 9/025-,.? CONTRACTOR PHONE:(Z 2$) 3.3c) —1 2 3 I✓ CONTRACTOR EMAIL: 7414an5 f 4km6 &, SooL,r-p tcig' CONTRACTOR LICENSE#(REQUIRED): 1 J(Lb Q S i\ \I' CITY OF EVERETT BUSINESS LICENSE It(REQUIRED):602,1-1 PRIMARY CONTACT: 0 OWNER 1 1 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE c)5-1,R - L/.23 � l/Ly�L,� 1/1-t! ,f CONTACT EMAIL: //11�tS i'7/-'7/-64l !}��✓G.Sr,Y/1. ' & z___L._ BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ tO .5�� Df Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ODuplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: PL 11016 RRQ gatt/.. 540" -RL?v/4i lea Y sok t L72 Ir .r. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT AP' -...--=, ION Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn Agit Repair #of List of Fixtures #of List of Fixtures #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 Unit Heater Bathtub Urinal Gas Piping Boiler \ Lavatory(Wash Basin) 1 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 I Water Other: Exhaust Fan ' Sink ervic ar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM Chemical or Water I 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.I 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 40 PERMIT# 0 gk col__ er/A h rized Agent Si itloce7 /8 11(nature Date (Revised 9/23/2016)