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® • PERMIT APPLICATI <br /> MI BUILDIN(' / MECHANICAL / PLUMBING / SIGN t SPRINKLER / DEMOLITION <br /> EVERETT CITY 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:7909 Evergreen Way PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Cesar Honores TENANT BUSINESS NAME(Commercial): MOD Super Fast Pizza, LLC <br /> OWNER MAILING ADDRESS: STREET2035 158th CT NE,#200 <br /> CITY Bellevue STATE WA ZIP 98008 <br /> OWNER PHONE: 206-354-0954 OWNER EMAIL:chonores@modpizza.com <br /> CONTRACTOR NAME:TBD C i of l J �- `'/ <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: LQ <br /> CONTRACTOR LICENSE#(REQUIRED): ` ei civ K CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): I—�86 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-519-5196 <br /> Josh Neumann CONTACT EMAIL:josh.neumann@graphitedesigngroup.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:A-2 Restaurant Contract Price of Work: $250;000.00 5O (9C'( <br /> Proposed Use of Building:A-2 Restuarant Heat Source: OGas DElectric DOther <br /> BUILDING USE: ❑SFR ❑Townhouse ODuplex ❑ADU ❑Multi-Family-#Units: L1Commercial ❑Accessory Structure <br /> Type of Project: ONew ❑Addition ❑Remodel ❑Repair CIT.]. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: T®RaRt impYt v n-ent-of'-tl existing single-Ievellaai1 fining pizza restaut•ant:-Wprk <br /> iricluldes interiar.remodek-and.exter,i epais,4podificatti11 INJ pti p L . <br /> _ASSOCIATED BUILDING PERMIT#(if applicable): ` "r°iWt j` c- <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATIO <br /> Fixture Fixture Fixture Fixture 1 <br /> List of Fixtures Count List of Fixtures Count List of Fixtures Count Lis- ixtures ,(.o <br /> Count <br /> A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower II..,or Co <br /> Boiler Gas Range Clothes Washer 8 Si ;'ommeyeifi (3-comp,prep,floor) <br /> Clothes Dryer 1 Heat Pump&Ductless 1 Dishwasher �/ 1 i n -Residential(kitchen,bath,bar) <br /> ' <br /> 1 Duct System(Remodel) 2 Refrigeration Drinking Fountain �'%+-� 1 Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) ,Commercial Ventilatior 2 Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) (I n Hose-Bibb 1 Urinal <br /> Exhaust Hood(Type II) 1.' Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) Wood Stove ( ,tali? Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems b Other: 4 / Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof Drains--1 Water Heater <br /> SPRINKLER I SUPPRESSION SYSTEM ,7 Sewage Ejector or Sump Pump 4 Other: hand sinks <br /> Water Suppression System No.of Heads c - 1 hub drain <br /> Chemical Suppression System No.of Heads i <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 authorized 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, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> 07.16.19PERMIT I/ <br /> Josh NeumannB <br /> 1 —1 <br /> I <br /> �� ,�„m>.�m ..,q....^..°.".,..um�.�",'..... l/1 L <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) II <br /> 2_ <br />