9031 EVERGREEN WAY 2021-02-22 - Laserfiche WebLink

MEI PERMIT APPLICATIO i. BUILDIN ECHANICAL / PLUMBING / SIGN. PRINKLER/ DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:9031 Evergreen Way PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Anderson Shopping Center LLC. TENANT BUSINESS NAME(Commercial): Giorgio's Pizza OWNER MAILING ADDRESS: STREET PO BOX 3610 CITY Everett STATE WA ZIP 98213 OWNER PHONE: Judith Anderson OWNER EMAIL: CONTRACTOR NAME: 1771A'ri cii)v- t o t \ ��P t(`} CONTRACTOR ADDRESS: STREET 7.0 I() ‘,("t Vi d. e,kOh -' \c . CITY i Jn e -k--}- STATE i.,L., A` ZIP C/5 CONTRACTOR PHONE: `� Z ,�) -L�(} ' G CONTRACTOR EMAIL: 6/ CONTRACTOR LICENSE#(REQUIR ): of (1' el �OF EVERETT BUSINESS LICENSE#(REQUI�ED): �f' `�`i V"I6S'/ PRIMARY CONTACT: ❑OWNER CTOR o e ER (Please Specify) Tenant '- -. CONTACT NAME: CONTACT PHONE:(425) 773-8598 Satnam Singh CONTACT EMAIL:giorgioeverett@gmail.com BUILDING INFORMATION Existing Use of Building:Restaurant Contract Price of Work: $350 Proposed Use of Building:Restaurant Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ✓OCommercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ✓❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Install 3 compartment sink ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures Count List of Fixtures List of Fixtures List of Fixtures Count Count A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry, mop Exhaust Fans(Residential) Commercial Ventilatior Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaust Hood (Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) Forced Air Systems Other Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System No.of Heads 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 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 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, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only ,— 'ems; I I/10/20 PE #20 Owner/Authorized ..— 043 '" Agent Signature Date 9 g (Revised 10/10/2018) i 1