10121 EVERGREEN WAY PIZZA HUT 2021-11-02

® PERMIT APPLICATI011ik BUILDING I MECHANICAL I PLUMBING/SIGN WRINKLER I 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 (Biue*410:05 Ink,only.F100$0) .. PRAjEC.TSITE IIIIFORM.T!OM. . . ........ . .....!....... PROJECT SITE ADDRESS: 10 i Z i ENtectGlze.EN \Om ,T ZV PROPERTY TAX#: IS 04-241002001 oO LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) . CONTACT iNFORMATIOIM OWNER NAME: I'o'-Z.Pr)A CGi'T"{ P\ZZR L Lc TENANT BUSINESS NAME(Commercial): P 1Z�-et \VT O 3649'4- OWNER MAILING ADDRESS: STREET I'2X2' 1-kARA6OViz, E1 C-H L». STD` Zoo CITY furl L-Te'o STATE �v A ZIP 1S2-75 OWNER PHONE: 425` 4T6- ,O77 5C1 3CCOS OWNER EMAIL: ShU'E N -t '�lIC Nt?14Z. •CCM CONTRACTOR NAME: I)IAIMahf9 G0145t 'UciIUN Sec \ftc5 CONTRACTOR ADDRESS: STREET S 54 2-O r(111,t"TiA1L.4 p...v S CITY 'SINrV j .p 9'3 t.) STATE W � ZIP ootp CONTRACTOR PHONE: 1J 3-79`7- 385 7 CONTRACTOR EMAIL: 'bAv.-f\iE @ com.c.AST, _ CONTRACTOR LICENSE#(REQUIRED): D),iskM,t3 CS 9 5 2 CITY OF EVERETT BUSINESS LICENSE#(REQUI ): ) PRIMARY CONTACT: iRLOWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: j E,- 423- 0594- C-4V0Gk- i-1EI4Dtg✓ONt CONTACT EMAIL: CA-}e.1,.ejZ. OC -etzpa.p CAIN QjZZp,CcW' ` ... . `< .. . BUILDING INFORMATION Existing Use of Building: F. 1t_ �j j YL.%), MP-Li- Contract Price of Work:$�' .) 000 Proposed Use of Building: ?IZZr'. CQP:i2-`Ion 1.PS.Li 1f '-'`j Heat Source: as ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: IgCommercial ❑Accessory Structure Type of Project: CI New ❑Addition ❑Remodel CI Repair 'T.I. CI Sign El Sprinkler El Demolition El Change of Use DESCRIPTION OF WORK: INy-cAVv � New �,1P41.G uN1' S t Izemfl-st v_,II.1sc1 G FINAC- ON VT, + v 7►a g �( pLS \ u-cOr► ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATTION PLUMBING PERMIT APPLICATION . . , Fixture Fixture Fixture Fixture Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures 2, NC-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) 2_ Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilatior Floor Drain Toilet _ Exhaust Hood(Type I) t (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 I.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.1 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 . ilk G\1j QIZZ.p..) U-Ci PERM c&t 9-6--1c M l'Tc1— 6 00" Owner/Authorized Agent Signature Date (Revised 4/15/2019)