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_ PERMIT APPLICATIIIII <br /> MI <br /> BUILDS./ MECHANICAL / PLUMBING / SIGNI1 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 1(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 /> cm ' Bellevue STATE WA ZIP 98008 . <br /> OWNER PHONE: 206-354-0954 OWNER EMAIL:chonores@modpizza.com <br /> CONTRACTOR NAME:TBD (`a"' t \ <br /> CONTRACTOR ADDRESS: STREET <br /> CRY STATE ZIP <br /> CONTRACTOR PHONE: r CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): 652ste,Lfig. K%- CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): t tF,04- <br /> C-t <br /> PRIMARY CONTACT: D OWNER 0 CONTRACTOR O 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:$2591U.U0 � ®L./ <br /> Proposed Use of Building:A-2 Restuarant Heat Source: OGas Electric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ERemodel ❑Repair ❑✓T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: T - . <br /> in • • • Ati4r ;o,1._ . .4( .a-- <br /> ASSOCIATED BUILDING PERMIT#(if applicable): (\'tit-t V1 <br /> MECHANICAL PERMIT APPL ION PLUMBING PERMIT APPLICATION <br /> Fixture Fixtur Fixture Fixture <br /> Count List of Fixtures co Lis Fixtures Count List of Fixtures Count <br /> List of Fixtures <br /> NC—Air Handling Unit as Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler 7` Gas Range Clothes Washer 8 Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer , 7 1 Heat Pump&Ductless 1 Dishwasher Sink-Residential(kitchen,bath,bar) <br /> 1 Duct System model '� 2 Refrigeration Drinking Fountain 1 Sink-Utility,laundry,mop <br /> Exhau t Fa Resi ntial) Commercial Ventilation 2 Floor Drain 3 Toilet <br /> Exh o pe I) (Not Heat/AC system) Hose Bibb 1 Urinal <br /> Exhaust Ho (Type II) 1 Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaus ood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forc Air Systems Other: Medical Gas Water Valves or Fixtures <br /> G s Fireplace/Insert/Log • Roof Drains 1 Water Heater <br /> RINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump 4 Other: hand sinks <br /> Wate oppression System No.of Heads 1 hub drain <br /> Chemical Suppression System 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 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 /> Git � <br /> City of Everett Official Use Only <br /> PERM ` `O alVk <br /> Josh Neumann ,,,,,,,,�.,,, �.�.,^^•^°4�^'•°•••^�,.^""�^^••' 07.16.19 <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br />