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EVERETT <br />WASHINGTON <br />PERMIT APPLICATIQk <br />BUILDI*/ MECHANICAL / PLUMBING / SIGWSPRINKLER / DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 1 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: 1515 132nd Street SE Everett WA 98684 <br />PROPERTY TAX #: 28053000406500 <br />LEGAL for new construction: Short Plat/subdivision _ Lot No. (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: Tekin and Associates TENANT BUSINESS NAME (Commercial): Jack in the BOX <br />OWNER MAILING ADDRESS: STREET 2600 North Dallas Parkway #370 <br />cm Frisco STATE TX ZIP 75034 <br />OWNER PHONE: (469) 458-0485 <br />OWNER EMAIL: Mark.Tekin@tekindevelopmeni.com <br />CONTRACTOR NAME: <br />CONTRACTOR ADDRESS: STREET <br />CITY STATE ZIP <br />CONTRACTOR PHONE: <br />CONTRACTOR EMAIL: <br />CONTRACTOR LICENSE #(REQUIRED): <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): <br />PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR I] OTHER (Please Specify) Authorized Agent <br />CONTACT NAME: <br />Glenna Mahar <br />CONTACT PHONE: 253.272.4214 <br />CONTACT EMAIL: gmahar@jgarchs.com <br />BUILDING INFORMATION <br />Existing Use of Building: Convenience Store <br />Contract Price of Work: $369 200 <br />Proposed Use of Building. Jack in the Box restaurant and drive-thru <br />Heat Source: ❑Gas ❑Electric ❑Other <br />_ <br />BUILDING USE: ❑SFR ❑Townhouse []Duplex ❑ADU ❑Multi -Family - # Units: ✓❑Commercial E]Accessory Structure <br />Type of Project: ❑New []Addition ❑✓ Remodel ❑Repair T.I. ❑Sign ❑Sprinkler ❑Demolition []Change of Use <br />DESCRIPTION OF WORK: <br />Renovation of existing 1-story, wood -framed, commercial building. Improvements include: demolition of existing convenience store portion of building, roof and <br />related accessories and infrastructure. Reconstruction of the storefront entry feature and vestibule, new wood/EIFS wall to complete envelope of the stand-alone <br />jack-in-the-box restaurant and structural elements necessary to support the new wall and adjacent, existing construction. <br />ASSOCIATED BUILDING PERMIT # if applicable): <br />MECHANICAL <br />PERMIT <br />APPLICATION <br />PLUMBING PERMIT <br />APPLICATION <br />Fixture <br />List of Fixtures <br />Fixture <br />CountCount0 <br />List of Fixtures <br />Fixture <br />List of Fixtures <br />qr <br />List of Fixtures "' <br />A/C -Air Handling Units <br />Gas Piping <br />Backflow Preventer (Inside Bldg)Shower, <br />FFix-tureCount <br />Tub, or Combo- <br />0 <br />Boiler <br />Clothes Dryer <br />Duct System (Remodel) <br />0 <br />0 <br />Gas Range <br />Heat PumpBDuctless <br />Refrigeration <br />Clothes Washer <br />Dishwasher <br />Drinking Fountain <br />Sink -Commercial (3-�omp,prep,floor) <br />Sink -Residential (kitchen,bath,bar) <br />Sink -Utility, laundry, mop <br />Exhaust Fans (Residential) <br />0 <br />Commercial Ventilatior <br />(Not Heat/AC system) <br />Floor Drain <br />Toilet <br />Exhaust Hood (Type 1) <br />Hose Bibb <br />Urinal <br />Exhaust Hood (Type II) <br />0 <br />Water Heater <br />Interceptor -Grease <br />Waste/Water Piping Repair <br />0 <br />Exhaust Hood (Residential) <br />Forced Air Systems <br />0 <br />Wood Stove <br />Other <br />Interceptor-Sand/Oil <br />Medical Gas ' <br />Water Service (behind meter) <br />Water Valves or Fixtures <br />Gas Fireplace/Insert/Log <br />Roof Drains <br />Water Heater <br />SPRINKLER <br />/ SUPPRESSION <br />SYSTEM <br />Sewage Ejector or Sump Pump <br />Other: <br />Water Suppression System <br />No. of Heads <br />Chemical Suppression System <br />No. of Heads <br />Hi,rUV0 LEDGE Efvi: t 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 1 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 # <br />Signature Date (Revised 1011012018) <br />i% Z <br />