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PERMIT APPLICATIOhi— <br /> BUILDING= ECHANICAL/ PLUMBING/SIGN — RINKLER/ DEMOLITION <br /> #.111d7A <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT,SITE INFORMATION p <br /> PROJECT SITE ADDRESS: 430 SW Everett Mall Way PROPERTY TAX#: 00518200000500 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Strickland RF Holdings, 11 C TENANT NAME(If Commercial): Enterprise Rent-A-Car <br /> OWNER MAILING ADDRESS: STREET 12199 Village Center Place Suite 201 <br /> CITY M u ki lteo STATE WA ZIP 98275 <br /> OWNER PHONE: 425-917-7586 OWNER EMAIL: <br /> CONTRACTOR NAME: Insignia Sign, Inc. <br /> CONTRACTOR ADDRESS: STREET PO BOX 2849. <br /> CITY Renton STATE WA ZIP 98056 <br /> CONTRACTOR PHONE: (425) 917-2109 CONTRACTOR EMAIL: nate(Einsigniasign.com <br /> CONTRACTOR LICENSE#(REQUIRED): INS IGS I062QZ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: 0 OWNER VI CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: Nate Cartas CONTACT PHONE: (425) 917-2109 <br /> CONTACT EMAIL: nate@insigniasign.com <br /> BUILDING PERMIT APPLICATION` <br /> Existing Use of Building: Auto Shop Contract Price of Work:$ 10.000 <br /> Proposed Use of Building: Car Rental Heat Source: ❑Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: El Commercial 0 Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel El Repair ❑T.I. ❑Sign CI Sprinkler CI Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Remove existing pole sign cabinet & cladding; sleeve new 6" pole <br /> into existing 8" pole; install new LED illuminated pole sign cabinet (N1); Install new <br /> LED illuminated wall sign cabinets (N2 & N3). <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 /> NC-Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower_ Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER I SUPPRESSION SYSTEM <br /> Chemical or Water I 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 authol -• •••er any circumstance.lam the owner,or lam authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State -••ractors w 8.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> ff i 4 PERMIT#/11! i- o� (fl, <br /> • ner Authorized Agent ignature Date (Revised 9/23/2016) ) <br />