1110 BROADWAY WILLIAMS INVESTMENTS 2020-01-16

PERMIT APPLICATION "11111#444 ----a BUILDING/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 (Blue or Black Ink Only Please) PROJECT SITE INFORMATION - ' PROJECT SITE ADDRESS:1 1 1 0 Broadway Everett Wa 98201 PROPERTY TAX#:29051700205500 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Williams Investments LLC TENANT BUSINESS NAME(Commercial): Williams Investments OWNER MAILING ADDRESS: sTREET2517 Colby Ave crry Everett STATE Wa ZIP 98201 OWNER PHONE: t(24� 3 I • 03S3 OWNER EMAIL:ryan@williamsinvest.com CONTRACTOR NAME:Northwest Sign & Design CONTRACTOR ADDRESS: STREET17201 Beaton Rd SE CITY Monroe STATE Wa ZIP 98272 CONTRACTOR PHONE:425-844-6415 CONTRACTOR EMAIL:mark@nwsigns.com CONTRACTOR LICENSE#(REQUIRED): NWWHOS*929M9 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 53882 PRIMARY CONTACT: 0 OWNER El CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-844-6415 Mark Bartman CONTACT EMAIL:mark@nwsigns.com BUILDING INFORMATION Existing Use of Building: Contract Price of Work:$17,473 Proposed Use of Building: Heat Source: OGas ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑✓Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Installation of(2)sets of front/back illuminated letters on existing brick parapet wall ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION ' PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures count List of Fixtures Count List of Fixtures Count List of Fixtures NC—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) _Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilation Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System 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 lam 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 //4•/(c- ioole PERMIT# Owner/Authorized Agent Signature Date (Revised 10/10/2018)