1806 BROADWAY MOBIL 2019-06-19 - Laserfiche WebLink

PERMIT APPLICATION BUILDING I MECHANICAL/PLUMBING I SIGN I SPRINKLER/DEMOLITION NitiftWJ CITY O EVERETT PERMIT SERVICES . - 3200 CE R STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-88 1(E)everetteps@everettwa.gov 1 www.everettwa.govipermits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 1806 Broadway,Everett WA 98201 PROPERTY TAX#: 00438236402700 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Balbir Singh TENANT NAME(if Commercial): Big J Mini Mart(Mobil) OWNER MAILING ADDRESS: STREET 16710 Smokey Point Blvd (#309) cnY Arlinaton STATE WA ZIP 98223 OWNER PHONE: General Manager: Brian Kooy(425)220-1009 OWNER EMAIL: brian.deltafuel@gmail.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: steven@insigniasign.cOm CONTRACTOR LICENSE#(REQUIRED): INSIGSIO62QZ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 038029 PRIMARY CONTACT: 0 OWNER ®CONTRACTOR El OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: (425)917-2109 Steven Thomson @ Insignia Sign Inc. CONTACT EMAIL: Steven@insigniasign.cOm BUILDING PERMIT APPLICATION Existing Use of Building:Arco Gas Station & Food Mart Contract Price of Work:$8 000.00 Proposed Use of Building:Mobil Gas Station &Food Mart Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ®Commercial ❑Industrial Type of Project: El New ❑Addition ❑Remodel ❑Repair ❑T.I. ®Sign OSprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: ®Replace existing ARCO pole sign faces with new MOBIL faces (REFACE ONLY);Wire new LED price faces to existing electrical circuit: ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn _Alteration Repair Type of Project: _New _Addn Alteration _Repair #of List of Fixtures #of List of Fixtures #°f List of Fixtures #°f 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) 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 Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER I 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 lam authorized by the owner of this property to perform the work for which application is made, and f comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# 2 sleueis �h so (Contractor&Agent) 02/28/19 l V ), b2' OwnerlAuthorized Agent Signature Date (Revised 9/23/2016)