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i <br /> 4-17. ! PERMIT APPLICATION <br /> BUILDING / MECHANICAL / PLUMB NG / SIGN /SPRINKLER / DEMOLITION <br /> CITY OF EVERETT ERMIT SERVICES <br /> ' 3200 CEDAR STREET, VERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 8417 Evergree.r IWaIIy PROPERTY TAX#: 28042300-10-490 <br /> LEGAL for new construction: Short Plat/subdivisioi I 1 1 19 Lot N0! (attach copy of long legal description) <br /> ' i I <br /> H. i ;;CONTACT INFORM TION <br /> OWNER NAME: Panda Express, 'INC. I TENANT NAME(If Commercial): Panda Express <br /> OWNER MAILING ADDRESS: STREET 1683 W 1.ut Grove Avej1ue <br /> CITY Ros' mea Il sTATE zip <br /> California91770 <br /> OWNER PHONE: (62 6) 372-8526 OWNER EMAIL. Michael . Cade l l@PandaRG. corn <br /> CONTRACTOR NAME: TGc'-_ASce <br /> 1 <br /> CONTRACTOR ADDRESS: STREET i jjl r I I <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: ,I I I CONTRACTOR(EMAIL: <br /> CONTRACTOR LICENSE#(REUUIRED):0 �1 ;L ct/�A V CITY OF EVERETT BUSINESS LICENSE#(REQUIRED <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR j®OTHER(Please Specify)Architect & Planner <br /> ONTACTNAME: Lupe Sandoval 11ti <br /> CONTACT PHONE: (559) 903-0336 or. (916) 451-1500 <br /> CRM Architects & Plannersl, INC. j CONTACT EMAIL: LupeS@crmarchitects . com <br /> j BUILDING PERMIT APPLICATION <br /> Existing Use of Building: N/A I I Contract Price of Work:$ 5 5 0 , 0 0 0 . 0 0 3� o n <br /> Proposed Use of Building: Res taurantll I Heat Source: ❑Gas 2 Electric her �'" <br /> 9 <br /> Building Type: ❑SFR-Detached ❑SFR-Attched ❑Duplex ❑Multi-Family-#of Units: ItCort mArcial ❑Industrial <br /> type of Project: ❑New ❑Addition ❑Remodel ❑Repair ®T.l. OSign I ❑Sprinkler ODemolition ; OChange of Use <br /> ESCRIPTION OF WORK: <br /> New Panda Express Restaurant �•tl <br /> l r I �L t Gd14_ <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> 1 MECHANICAL PERMIT APPLICATION 1 j j PLUMBING PERMIT APPLICATION. <br /> Type of Project: _New _ Addn _Alterati;or1 Repair I Type Of Project: _New _Addn _Alteration _Repair <br /> #of <br /> List of Fixtures #of 1st of Fixtur l / Fixtures List of Fixtures #of <br /> esList of Fixtures <br /> („:647 <br /> rxtures Fixture `` <br /> I 3 NC-Air Handling Units �`1'at Pump ' I 2 Toilet Backflow Preventer(Inside Bldg) <br /> I 1 Forced Air Systems Unit Heater 1 Bathtub Urinal <br /> I 1 Gas Piping A, Boiler 2 Lavatory(Wash B Drinking Fountain <br /> 12 Water T Refrigeration I Shower r -5 Floor Drain <br /> Gas Firepla Wood Stove I 5 Kitcherj Sink isposat Grease Trap <br /> I 2 Gas Range 1 Ducting Dishwasher Roof Drains <br /> II Clothes Dryer Hookups (Other: Clothe$Washer Medical Gas <br /> 12 Range Hood I I 2 Water Heater 8 Other: (Floor Sink) <br /> 3 Exhaust Fan I I 1 Sink(Service/Bar/Mop/etc.) Other: <br /> i I <br /> „SPRINKLER/ SUPPRESSION SYSTEM ` <br /> Chemical or Water I ;Nb.of Heads <br /> 1KNOWLEDGEMENT:I have reviewed this applicatiotriJnd confirm the information contained herei in is true and correct.Work done pursuant to this permit must comply with <br /> Bcurrent federal,state,and local law. The granting of a p4hnit only authorizes approved work and no deviations therefrom,Deviations must first be authorized in writing from the <br /> uilding Official before being authorized under any circu{vs'tance I em the,owner,or I am 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 RCl4land 296.200A til C. <br /> nI City of Everett Official Use Only <br /> I — <br /> ® /©1/ 201 PERMIT# ) 1 � .- <br /> 'O r/Authorized A ent Sig ature Date (Revised 9/23/2016) . -� <br /> I ( )/Z) <br />