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® PERMIT APPLICATION <br /> ILI <br /> BUILDING / MECHANICAL/ PLUMBING /SIGN /SPRINKLER / DEMOLITION <br /> E V E R E T TCITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:8417 Evergreen Way PROPERTY TAX#:28042300-10-490 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Panda Express, Inc. TENANT BUSINESS NAME(Commercial): Panda Express <br /> OWNER MAILING ADDRESS: STREET 1683 Walnut Grove Avenue <br /> CITY Rosemead STATE California ZIP 91770 <br /> OWNER PHONE: (626)372-8526 OWNER EMAIL:Machael.Cadell@PandaRG.com <br /> CONTRACTOR NAME:MCO and Associates <br /> CONTRACTOR ADDRESS: STREET 1509 W. Whispering Wind Drive <br /> c,T,, Phoenix STATE Arizona zip 85085 <br /> CONTRACTOR PHONE:(623)435-3200 CONTRACTOR EMAIL:BradM@MCOGC.com <br /> • <br /> CONTRACTOR LICENSE#(REQUIRED):MCOASAL889ON CITY OF EVERETT BUSINESS LICENSE#(REQUI' D): 't D <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR D OTHER(Please Specify) Architect& Planner <br /> CONTACT NAME: { ie CONTACT PHONE:(559)903-0336/ (916)451-1500 <br /> rS InC ONTACT EMAIL: I m k.A, e_r, y <br /> BUILDING INFORMATION n,� <br /> Existing Use of Building:N/A Contract Price of Work:$35,000.00 �W'4 <br /> Proposed Use of Building:Restaurant Heat Source: ❑Gas ❑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: <br /> 'T e, <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 /> 2 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 I SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: (floor sink) <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System I 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 author'ed under any circumstance./em the owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> an I com y with the State ntr ors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> ca_ Is - 1 j m kcto ' -oS ' <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br /> tl2_, <br />