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PERMIT APPLICATIO I <br /> 121 <br /> BUILDINOMECHANICAL I PLUMBING / SIGNWPRINKLER / 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 <br /> CONTRACTOR ADDRESS: STREET 1D \� , ¶' <br /> CITY J`VVV��,� f�� s STATE - ZIP P o <br /> CONTRACTOR PHONE: V q CONTRACTOR EMAIL: <br /> ()R. �CONTRACTOR LICENSE#(REQUIRED): ` ((.2-' CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): Lk� , <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 \(4.D K. <br /> Proposed Use of Building:A-2 Restuarant Heat Source: EGas _ DElectric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ETA. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Tenant improvement of an existing single-level building for a fast casual dining pizza restaurant. Work <br /> includes interior remodel and exterior repairs/modifications. <br /> P. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): *- <br /> MECHANICAL PERMIT APPLIC ,TI;;) ' PLUMBING PERMIT APPLICA� <br /> Fixture Fixture 1, t Fixture Fixture <br /> Count List of Fixtures c t I'. of Fixtures Count List of Fixtures Count List of Fixtures <br /> A/C-Air Handling Unit as Piping Backflow Preventer(Inside Bld ) v, . Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer / Sink-Commercial(3-comp,prep,floor) <br /> Clothe D , 1 Heat Pump&Ductless 1 Dishwasher Sink-Residential(kitchen,bath,bar) <br /> 1 D m'4 2 Refrigeration Drinking Fountain ce 1 Sink-Utility,laundry,mop <br /> Exhau ans -•-: .ential) Commercial Ventilation\ 2 Floor Draip^ 3 Toilet <br /> Exhaust Hood(Ty.- I) (Not Heat/AC system) Hose Bibb 1 Urinal <br /> Exhaust Hood(Type II) 1 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 1 Water Heater <br /> ,,,,SPRINKLER/ SUPPRESSION SYSTEM Sevi%age Ejector or Sump Pump 4 Other: hand sinks <br /> Water Suppression 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 /> City of Everett Official Use Only <br /> .,._...., PERMIT]«O IT# <br /> Josh Neumann , .:m>:9, -�.-'-.o....-w,-.,d..,-.-^^ 07.16.19 'l 4 — 01. )— <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) Il'�. <br />