11014 19TH AVE SE BIMS LAUNDRY CAFE 2021-02-26

iiiiiiiii • PERMIT APPLICATION• BUILDING / MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 �� CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 l FAX 425-257-8857 l(E)everetteps©everettwa.gov l www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:11014 19th Ave SE #19A, Everett, WA 98208 PROPERTY TAX#:28051900400400 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: TENANT BUSINESS NAME(Commercial): Bims Laundry Cafe OWNER MAILING ADDRESS: sTREETC/O David Swissa 2404 137th PI SE CITY Mill Creek STATE WA ZIP 98012 OWNER PHONE:425-503-4714 OWNER EMAIL:daVidSWisSa@hotmaiI.com CONTRACTOR NAME:tO be furnished later CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: CI OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME:-n� CONTACT PHONE: ti --- SC)3 ---I r tt 4.'V ��w/'S-sr^ CONTACT EMAIL: BUILDING INFORMATION Existing Use of Building: Contract Price of Wor $— .,:3 coo Proposed Use of Building: same Heat Source: l]Gas ❑Electric F Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ©Comm 'ial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair LiT.I. ❑Sign ❑Sprinkle`. ❑D olition ❑Change of Use DESCRIPTION OF WORK: . ...h-,4 i/�/e k ',/-. tix- w,'.I 4 / 3 -i, 3, ),V I e,-eP/,s,.;,te_}I i4 d S,'.,i< el--,./ --cv6,Pn.t. 'itsi_i3S,r.ea.r42 4-i yl ASSOCIATED BUILDING PERMIT#(if applicable):R( (I(- ()is MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures Court List of Fixtures Count List of Fixtures Count List of Fixtures NC—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 I 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 �� 11/12/2019 PER �^ �r ` O� Owner/Authorized Ag rgnature Date (Revised 10/10/2018) 1