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

III PERMIT APPLICATION LI BUILDING I MECHANICAL I PLUMBING /SIGN /S RINKLER I 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 ll PROJECT SITE ADDRESS: J,O 1 1 1 iftly, s Su,',lc' J9 ) PROPERTY TAX#: Z 1 i D SI 9O O yo6 ' 'o LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: p h i I litlii0 a-c S TENANT BUSINESS NAME(Commercial): g:iM L,44,161„4 5 1� OWNER MAILING ADDRESS: STREET J CITY STATE P`�(1` '� O` IP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: ilictki L e- Pl u i h;,1 G CONTRACTOR ADDRESS: STREET j/.Z(. < /L y?t Pi S /q C CITY ' .� STATE 1/09-- ZIP 9 030 CONTRACTOR PHONE: 7n& "leg//" -2713 7 CONTRACTOR EMAIL: �i ke//erv/,7e pif /i/,0�f� rO CONTRACTOR LICENSE#(REQUIRED): Ngtiii..,113$3 t4 f<AJ CITY OF EVERETT BUSINESS LICENSE#(REQU D): PRIMARY CONTACT: pl OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME:/� CONTACT PHONE: -70 6 c f 2 Z� /71 3 7 fill'A C_.�l41'1 A l�,h CONTACT EMAIL: �,`G (�i'L�l//`1-C/2/(Jv-lGa/it< .,,,, y BUILDING INFORMATION Existing Use of Building: Contract Price of Work:$ 3s00 0 Proposed Use of Building: Heat Source: ❑Gas 0 Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse 0 Duplex DADU ❑Multi-Family-#Units: Kommercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair `AT.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: 11061 b;✓I ;0 r t z1 Ad bri o 0141 c,(3) W 45111 ii/le/ii;,e 6 ' () 11001 54' 0'4 pi,p S mk 90l` 4 a4e TAA.>id u -IC ,4 /, // oar ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures A/C-Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler Gas Range 3 Clothes Washer a Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher ')� Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain 1 Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilatior 1 Floor Drain 1_ 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 1 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 C tractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use` Only 17-100 , '-.- 0zAutHofize gent Signature Date (Revised 4/15/2019)