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• <br /> MIN PERMIT APPLICATION <br /> 116111 <br /> BUILDING/ MECHANICAL/PLUMBING i SIGN I SPRINKLER I DEMOLITION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I w*w.everettwa.gov/permits <br /> (Liu or,fEagk Ink On i014asO) 0#...P_ROJRC ;SITE <br /> PROJECT SITE ADDRESS: 1305 SE EVERETT MALL WAY PROPERTY TAX#: 28051800404400 <br /> LEGAL for new construction: Short Plal/subdivislon Lot No. (attach copy of long legal description) <br /> • CONTACT i.NFO VIM ION <br /> OWNER NAME: Everett Mall 11 LLC TENANT BUSINESS NAME(Commercial): Red Robin <br /> OWNER MAILING ADDRESS: STREET 1 241 1 VENTURA BLVD <br /> cm( STUDIO CITY STATE CA Zw 91604 <br /> OWNER PHONE: 4253551471 OWNER EMAIL: <br /> CONTRACTOR NAME: Alexander Gow Fire Equipment <br /> CONTRACTOR ADDRESS: STREET 1436 NW 53rd St <br /> ciTv SEATTLE STATE WA Z,P 98107 <br /> CONTRACTOR PHONE: (206)632-2810 CONTRACTOR EMAIL: dwall@gowfire.com <br /> CONTRACTOR LICENSE#(REQUIRED):CC ALEXAGF835QB CITY OF EVERETT BUSINESS UCENSE#(REQUIRED); 050029 <br /> ,..�v.,. ,s�„��,,.�.�,.,-,��-�,.,---c-Y .ter.-� -«,�.,....,,-.r-n-k,._��,,_ v a, •;.:-,-- ......... .. ..... ._�..KLL....�.-._..,�...�„-.. <br /> PRIMARY CONTACT: ❑OWNER Cl CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 2064828858 <br /> Darin Wall CONTACT EMAIL:dwall@gowflre.com <br /> Existing Use of Building: Restaurant Contract Price of Work:$ 6500 <br /> Proposed Use of Building: Restaurant Heat Source: OGas ❑Electric ❑Other__ <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi Family-#Units: ❑✓Commerclal EAccessory Structure <br /> Type of Project: ❑New DAddition ['Remodel ❑Repair DT.I. ['Sign IUSprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Modification of existing Ansul R102 hood suppression system to accommodate new appliance <br /> lineup and to meet UL300 standards <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> ._,..:�gOrr HANiCAL PPj#MLt AtkladAT1O 1r-..__.t _Eir- .._,__- -PLUM-BINGE EAkln l+P!t7CATIOW.VO <br /> Fixture Rxture Fixture t Fixture <br /> Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures <br /> A/C—Air Handing Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prop,floor) <br /> Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kltchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilation Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibo Urinal _ <br /> Exhaust Hood(Type iI) Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand/0i'' 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 /> 0,E11~' ,055- ._ =,_ Sewage Ejector or Sump Pump Other: <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System 1e No.of Heads <br /> ACKNOWLEDGEMENT:1 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 end no deviations therefrom.Deviations must first be authorized in writing from the <br /> Building Official before being authorized under any circumstance.lam 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 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMI # <br /> 0.g;L -261 2‘) <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br /> 117r <br />