4808 EVERGREEN WAY SUITE A & B THE KUSHERY 2021-09-22

PERMIT APPLICATION IZ BUILDINGOECHANICAL / PLUMBING / SIGN /WRINKLER / 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 PROJECT SITE ADDRESS:4808 EVERGREEN WAY EVERETT, WA 98203 ' PROPERTY TAX#:00581900006500 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Joshua Shade TENANT BUSINESS NAME(Commercial): The Kushery OWNER MAILING ADDRESS: STREET 18026 State Route 9,Suite B cm, Snohomish STATE WA ZIP 98296 OWNER PHONE: 425-633-7515 OWNER EMAIL:thekusheryjosh@gmail.com CONTRACTOR NAME:Joel Clark-Cascade Custom & Remodel CONTRACTOR ADDRESS: STREET 9624 196th st SE CITY Snohomish STATE WA ZIP 98296 CONTRACTOR PHONE:425-319-7427 CONTRACTOR EMAIL:Cascadecustomandremodel@gmail.com CONTRACTOR LICENSE#(REQUIRED): CASCACR866CC CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): TBD PRIMARY CONTACT: ❑OWNER ❑ CONTRACTOR 0 OTHER(Please Specify) Architect CONTACT NAME: CONTACT PHONE:425-827-2100 Dustin Thorlakson CONTACT EMAIL:dthorlakson@FreiheitArch.com BUILDING INFORMATION i) Existing Use of Building:(B)Business Contract Price of Work: $ Q4 toOD •°1 Proposed Use of Building:(M)Mercantile Heat Source: ❑Gas ❑Electric DOther BUILDING USE: DSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: [Commercial _Accessory Structure Type of Project: New ❑Addition ❑Remodel ❑Repair CT.I. ❑Sign ❑Sprinkler ❑Demolition [.'Change of Use DESCRIPTION OF WORK: INTERIOR TENANT IMPROVEMENT TO INCLUDE DEMOLITION OF NON-LOAD BEARING INTERIOR PARTITIONS; CONSTRUCTION OF NEW NON-LOAD BEARING PARTITIONS; AND RESTROOM REVISIONS. BUILDING WILL BE DEMISED INTO (3) SEPARATE TENANT SPACES. NO EXTERIOR WORK IS INCLUDED. ASSOCIATED BUILDING PERMIT#(if applicable): NA 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 Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen.bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry, mop Exhaust Fans(Residential) Commercial Ventilation Floor Drain 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 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 Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only 0 n Authorized Agent Signature Date (Revised 10/10/2018) -) 9 9 f%_,