8417 EVERGREEN WAY PANDA EXPRESS 2022-05-23

PERMIT APPLICATIOP' 112 BUILDIN( MECHANICAL / PLUMBING / SIGN 'RINKLER/ DEMOLITION EVERETTCITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov 1 www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 841 7 Evergreen Way Everett, WA 98208 PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Polar Bear Mechanical Inc CONTRACTOR ADDRESS: STREET 14910Auora Ave N CITY Shoreline STATE wa ZIP 98133 CONTRACTOR PHONE: 4259675827 CONTRACTOR EMAIL: garry@polarbearmechanicallnc.com CONTRACTOR LICENSE#(REQUIRED): POLARBM891 PC CITY OF EVERETT BUSINESS LICENSE#(R ) 7'/ �2 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) C_____ CONTACT NAME: CONTACT PHONE: 4259675827 CONTACT EMAIL: garry@polarbearmechanicallnc.com BUILDING INFORMATION Existing Use of Building: Panda Express Contract Price of Work: $ 3,000 Proposed Use of Building: same2- Heat Source: ❑Gas ❑Electric ❑Other BUILDING-USE: ❑SFR ❑Townhouse ` ❑Duplex ❑ADU ❑Multi-Family-# Units: ✓❑Commercial ❑Accessory Structure Type of Project: ONew ❑Addition ;❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: t Tav- FRIEE-` R/ G - - . . - . _ - - - .. - - ReF.'.. --1---------.1 t.`r SEF i $$$ ASSOCIATED BUILDING PERMIT#(if applicable): K �—__1VIECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) 2 Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilatior Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/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: Medical Gas Water Valves or Fixtures Gas Fireplace/InserULog I Roof Drains Water Heater SPRINKLER/ SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System INo.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 bein. -_ -. -.under any circumstance.I am the owner.or I am authorized by the owner of this property to perform the work for which application is made, and I comply with the - e Contractors);aw 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# 0 n:r/Authorized A..jtT'ature Date (Revised 10/10/2018) I