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OLT PERMIT APPLICATION I <br /> BUILDIN&I-MECHANICAL/ PLUMBING /SIGN 1'IRINKLER/ DEMOLITION <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 <br /> PROJECT SITE ADDRESS:1720 75th St SW PROPERTY TAX#:28041100101200 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: WILDEC LLC TENANT BUSINESS NAME(Commercial): Motor Services Hugo Stamp, Inc. <br /> OWNER MAILING ADDRESS: STREET P0 Box 499 Mukilteo, WA 98275/5801 23rd Dr W STE 100 Everett,WA 98203 <br /> cm, Everett STATE WA ZIP 98203 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME:Fastsigns- Everett <br /> CONTRACTOR ADDRESS: STREET 2802 Colby Ave <br /> CITY Everett STATE WA zip 98201 <br /> CONTRACTOR PHONE:425.438.9350 CONTRACTOR EMAIL:Dunae.Steig@Fastsigns.Com <br /> CONTRACTOR LICENSE#(REQUIRED):CCFASTS**832JK CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 056308 <br /> PRIMARY CONTACT: 0 OWNER El CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:Ofc: 425.438.9350 Cell: 360.572.7225 <br /> Duane Steig CONTACT EMAIL:Duane.Steig@Fastsigns.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:Machinery, Equipment, Supplies Contract Price of Work:$5,514.67 <br /> Proposed Use of Building:Machinery, Equipment, Supplies Heat Source: OGas ❑Electric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi Family-#Units: ✓❑Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑✓T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Installing 1 double-sided freestanding NON-Lit sign near driveway. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures <br /> A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilatior Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof Drains Water Heater <br /> SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System 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 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, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT <br /> -- 3l 1ao3 -005 <br /> Owner/Authorized Agent Signature Date (Revised 10/2018) <br />