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10 • <br />EVERETT <br />WASHINGTON <br />PERMIT APPLICATION <br />BUILDING ECHANIC / PLUMBING / SIGN / SPRINKLER / DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(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:841 7 Evergreen Way, Suite 2 <br />PROPERTY TAX #: <br />LEGAL For new construction: Short Plat/subdivision <br />Lot No. (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: Thatcher Restaurant Group, LLC <br />TENANT BUSINESS NAME (Commercial): <br />WingStop <br />OWNER MAILING ADDRESS: STREETI 675 Scenic Ave. Suite 150 <br />c,TY Costa Mesa <br />STATE CA <br />z,P 92626 <br />OWNER PHONE: 71 4-868-7000 <br />OWNER EMAIL:ceo@farwestrestaurants.com <br />CONTRACTOR NAME: TBD <br />CONTRACTOR ADDRESS: STREET <br />CITY <br />STATE <br />ZIP <br />CONTRACTOR PHONE: <br />CONTRACTOR EMAIL: <br />CONTRACTOR LICENSE #(REQUIRED): <br />ITY OF EVERETT BUSINESS LICENSE #(REQUIRED): <br />PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR 0 OTHER (Please Specify) Architect PM <br />CONTACT NAME: <br />Kimbery Raden <br />CONTACT PHONE: 805-796-9537 <br />CONTACT EMAIL: kimberlyC@adnarch.com <br />BUILDING INFORMATION <br />Existing Use of Building:Vacant <br />Contract Price of Work: $1 ,000 <br />Proposed Use of Building: Restaurant <br />Heat Source: OGas ❑Electric ❑Other <br />BUILDING USE: ❑SFR []Townhouse ❑Duplex ❑ADU ❑Multi -Family- # Units: ZCommercial <br />❑Accessory Structure <br />Type of Project: ❑New ❑Addition ❑Remodel ❑Repair <br />ZT.I. ❑Sign ❑Sprinkler ❑Demolition <br />❑Change of Use <br />DESCRIPTION OF WORK: Wingstop Restaurant mechanical tenant improvement work <br />ASSOCIATED BUILDING PERMIT # if applicable): <br />MECHANICAL <br />PERMIT <br />APPLICATION <br />PLUMBING PERMIT <br />APPLICATION <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />1 <br />A/C - Air Handling Units <br />8 <br />Gas Piping <br />Backflow Preventer (Inside Bldg) <br />Shower, Tub, or Combo <br />Boiler <br />Gas Range <br />Clothes Washer <br />Sink -Commercial (3-comp,prep,floor) <br />Clothes Dryer <br />Heat Pump&Ductless <br />Dishwasher <br />Sink -Residential (kitchen,bath,bar) <br />2 <br />Duct System (Remodel) <br />Refrigeration <br />Drinking Fountain <br />Sink -Utility, laundry, mop <br />Exhaust Fans (Residential) <br />Commercial Ventilatior <br />Not ea tem) <br />Floor Drain <br />Toilet <br />Exhaust ype <br />Hose Bibb <br />Urinal <br />E <br />Interceptor -Grease <br />WasteNVater Piping Repair <br />Exhaust Hood (Residential) <br />Wood Stove <br />Interceptor-Sand/Oil <br />Water Service (behind meter) <br />Forced Air Systems <br />Other: <br />Medical Gas <br />Water Valves or Fixtures <br />Gas Fireplace/Insert/Log <br />Roof Drains <br />_ <br />Water Heater <br />SPRINKLER / SUPPRESSION <br />SYSTEM <br />Sewage Ejector or Sump Pump <br />Other: <br />Water Suppression System <br />No. of Heads <br />Chemical Suppression System <br />I <br />lNo. 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 thg State _Contractors Law 18.27 RCW and 296.200A WAC. <br />City of Everett Official Use Only <br />PERMIT <br />L-f'//Z/M <br />01 /21 /21 <br />Own r/Auth ri d A ent Sig-n-Arture Date (Revised 1011012018) <br />