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•PERMIT APPLICATI01 <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everethva.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />SITE ADDRESS: <br />2631 Walnut Street <br />PROPER tt TAX # <br />004613.002.002-00 <br />P <br />MIT # <br />—too <br />LEGAL for new constructmn. Short Plausubd v,sion See attached Lot No._ (attach copy of long legal descnplion) <br />OWNER PacWest Energy, LLC dba Jacksons Food Stores <br />Phone/E -wt (208)688-95081jack : davis@jacksons.com <br />Address 3450 East Commercial Court <br />c,tylstatefLp Meridian, ID 83642 <br />APPLICANT:_ Omer O,mer'stgent Cant,actar�'sAgent Tenanit,wv,.,e.. me�rorm�u�i iemvoo...r meo.n���ee scam/ <br />//C,.on;raclor <br />CONTRACTOR T4.1�de46r�inC W <br />2r� -C 'Cf' <br />LO sA14 # (_ OPPE O COE Bus. Lic. # d0044 <br />Address Phone/Email <br />TENANT BUSINESS NAME <br />N/A --z)Lr IlS StoYe <br />ONTACT FOR PERMIT Caryl Pinner, Barghausen Engineers, I <br />8215 - 72nd Ave S Kent, WA 98032 <br />Fone'Ernal(425)251-6222/cpinner@barghausen.com <br />CONTRACT PRICE OF WORK L'--.•-_ <br />BUILDING PERMIT APPLICATION <br />Existing Use of Building Retail / Carwash / Fuel Canopy <br />Proposed Use of Building Retail / Fuel Canopy <br />HEAT SOURCE. <br />Gas_ Eleclric� Other_ <br />Building type: _ Sngle Family _ Duplex _Townhouse _ Multi -Family X Commercial <br />Type of project X New Addition Remodel _ Repair __ T.I, Sign Sprinkler X Demolition Change of Use <br />DESCRIPTION OF WORK (eddtlonal space provided on the back): <br />Demolish all existing buildings and site improvements and redevelop the site with a new 2,996 st convenience store, a <br />4,752sf 6 MPD gas canopy, and new USTs including (1) 20,000, (1) 10,000, and (1) 8,000 gallon tanks. The project will <br />also reconstruct curb ramps at the intersection of Walnut Street and Everett Avenue as required <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project New _Addn _Alteration _ Repair <br />Show Number (#) of fixtures <br />Tyoe of Project: \Jew _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />l <br />NC — air handling units <br />Forced au systems <br />Gas pipno <br />Toilet <br />Bathtub <br />? Lavatory (wash basin <br />' I <br />Water heater <br />Shower <br />Gas fireplace <br />Kitchen sink 8 disposal <br />_ <br />Gas range <br />Dishwasher <br />Clothes dryer <br />Clothes washer <br />,--� <br />Range hood <br />Water heater <br />I <br />Exhaust fan <br />( <br />Sink sencicelbar/mo lelc. <br />I <br />Heat um <br />I <br />Backgow preventer <br />Unit healer <br />( <br />Urinal <br />'— <br />Boller <br />Drinking Fountain <br />Refngeralion <br />Floor drain <br />Woodslowe <br />Grease trap <br />I <br />Ducling <br />5 <br />Roof drains <br />Other _ <br />Medical Gas <br />SPRINKLER <br />I SUPPRESSION SYSTEM <br />5 <br />Other: Floor <br />Number of Heads <br />Other: Silk <br />I hereby cemfy that I have read and examined this applcabon and know Me same to be We and correcl. AM previsions of laws and ordinances govern'ng this type of work wI be compbed <br />wlh whelher specified hereui or net The graitng of a permit does not presume tog we authority to violate or cancel the provision of any other slate or local law reguating construction <br />That I am aulhoneed by the owner of this property to perform the work for whic�h�appptticattio�n is made and I comply wh the State Contractors Law 18 27 RCw and 296.20DA WAC. <br />Owner/Authorized Agent Signature ( Dare (Revised 6/2072) <br />