9930 19TH AVE SE 2019-11-15 - Laserfiche WebLink

._ PERMIT APPLICATION BUILDING I MECHANICAL/PLUMBING/SiGN i SPRINKLER I DEMOLITION 3 y 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 Book Ink Only p ►) PROJECT SiTE INFORMATION PROJECT SITE ADDRESS: 9930 19th Ave SE - ,, LEGAL for new construction: Short PtaUsubtiivision PROPERTY TAX#: 28051800405500 Lot No. (attach copy of long legal description) " V" I NTACT INFORMATION OWNER NAME: National Retail Properties TENANT BUSINESS NAME(Commercial): Wendy's Restaurant OWNER MAILING ADDRESS: STREET 450 South Orange Ave #900 cin Orlando STATE FL OWNER PHONE: zea 32801 OWNER EMAIL: CONTRACTOR NAME: Mibre Plumbing CONTRACTOR ADDRESS: STREET 34 Chick Rd coy Camano Island STATE WA 98282 CONTRACTOR PHONE: 360-810-5545 CONTRACTOR EMAIL: Ilate@Mibre2010.com CONTRACTOR LICENSE#(REQUIRED):MIBREP*905PN ICITy OF EVERETT BUSINESS LICENSE#(REQUIRED): #50890 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) Architect CONTACT NAME: CONTACT PHONE: Howard Kimura 425-271-1875 CONTACT EMAIL:hgkimura©comcast.net BUILDING INFORMATION Existing Use of Building: Restaurant Contract Price of Work:$ 750.00 posed Use of Building. Restaurant — Heat Source: 0Gas ❑Electric ❑Other BUILDING USE: ❑SFR Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: 0Commercial EAccessory Structure Type of Project: ❑New ®Addition EJ Remodel [,]Repair Ch..I. ❑Sign []Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Responding to Inspector's requests. Applying for plumbing permit to: [1]install sink and connect to existing hot/cold drain [2i install Ice Bin and connect to existing drain. ASSOCIATED BUILDING PERMIT#(if applicable): I Ci,I() ^ er)I MECHANICAL P` " PLICATION PLUMBING PERMIT APPLICATION Count List of Fixtures Fixture List of Fixtures Fixture Fixture Count Count List of Fixtures List of Fixtures A%C–Air Handling Units Gas PipingCount Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler Gas Range 3-com Clothes Dryer Clothes Washer Sink-Commercial Heat Pump&Ductless Dishwasher ( p ath.bar) Duct System(Remodel) Sink-ResidentialUtilaundry,( mopop,bath.bar) Refrigeration Drinking Fountain Exhaust Fans(Residential) link-Utile , Commercial Ventilation Floor Drain Exhaust Hood(Type I) (Not HeatUrinal /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: Gas Fireplace/Insert/Log Medical Gas Water Valves or Fixtures Roof Drains Water Heater SPRINKLER 1 SUPPRESSION SYSTEM Sewage Ejector or SumpPump1 Other: ice bin, manually pour ice Water Suppression System No,of Heads Chemical Suppression System No.of Heads C`s'd"n G9trr�. i 11�v ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct.Work done pursuant to permit must Ale- P com ptv wit 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.lam the owner,or I am authorized by the owner of this property to perform the work for which application is made. and t comply with(tie_State Contractors Law 18.27 RCW and 296.200A WAC" 12� ittAred.lolA14.-A,4,44.4' .j xr , ,f„ + .__- City of Everett Official Use Only - �° 4'�- I owne •r/ PERMIT# d utr•.ri Agent Signature Date (Revised 90J1012018)