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909 SIEVERS-DUECY BLVD GYRO MANIA 2021-09-10
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909 SIEVERS-DUECY BLVD GYRO MANIA 2021-09-10
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Last modified
9/10/2021 8:11:53 AM
Creation date
9/1/2021 8:59:52 AM
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Address Document
Street Name
SIEVERS-DUECY BLVD
Street Number
909
Tenant Name
GYRO MANIA
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NMI <br /> PERMIT APPLICATION <br /> BUILDING ! MECHANICAL ! PLUMBING ! SIGN / SPRINKLER / DEMOLITION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> WASHINGTON (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:909 Sievers duecy Blvd PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Mazen Mahomad TENANT BUSINESS NAME(Commercial): Gyromania <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE:425 7732797 OWNER EMAIL:mazenm@cOmcast.net <br /> CONTRACTOR NAME:Bolton Building Contractors <br /> CONTRACTOR ADDRESS: STREET4216 kiowa Drive <br /> c,T,, Mount Vernon STATE WA z,P 98273 <br /> CONTRACTOR PHONE:360 982 7430 CONTRACTOR EMAIL:janZenvandyke@gmail.COm <br /> CONTRACTOR LICENSE#(REQUIRED):b0It0bC808m 1 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 62607 <br /> PRIMARY CONTACT: ❑OWNER El CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:3609827430 <br /> Janzen Van Dyke CONTACT EMAIL:janzenvandyke@gmail.com <br /> BUILDING INFORMATION <br /> Existing Use of Building: Contract Price of Work: $82K <br /> Proposed Use of Building:Tl build out for restraunt Heat Source: ❑Gas ❑Electric ElOtherForest Air <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ZCommercial ❑Accessory Structure <br /> Type of Project: New ❑Addition Remodel ❑Repair ❑✓T.I. ❑Sign Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: �� � ��� '�^ <br /> New build out of small restraunt. KaLt) \� _ sJ--f�,') <br /> ASSOCIATED BUILDING PERMIT#(if applicable): B2003-033 <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures <br /> A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilatior Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof Drains Water Heater <br /> SPRINKLER/ SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System No.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 the State Contractors Law 18.27 RCW and 296.2 A WAC. <br /> City of Everett Official Use Only <br /> ,w 11-2-2020 s <br /> ?"--) <br /> er/Authoriz gent Signature Date (Revised 10/10/2018) <br />
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