10121 EVERGREEN WAY PIZZA HUT 2021-11-02

INNIM • PERMIT APPLICATIOIs 12 BUILDING / MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ 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:10121 Evergreen Way, Suite 23 PROPERTY TAX#:28042400200100 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Emerald City Pizza LLC TENANT BUSINESS NAME(Commercial): Pizza Hut 036494 OWNER MAILING ADDRESS: STREET 12121 Harbour Reach Dr, Suite 200 clrr Mukilteo STATE WA ZIP 98275 OWNER PHONE: 425-493-8077 ext 30005 OWNER EMAIL:chenderson@emeraldcitypizza.com CONTRACTOR NAME: �7i-1,`.IshetiNU E7t}'i EY; IIVC, CONTRACTOR ADDRESS: STREET 1".0.. BG X. 12 ZEr CITY SuPANFiZ STATE WA ZIP Ciet72C)C CONTRACTOR PHONE: 2-51 —2-S5 1E'L6 CONTRACTOR EMAIL: FLU'NGIACIEX'IZESS1NC Q C.CONCA I•tT CONTRACTOR LICENSE#(REQUIRED): pLu Mk5E1 C) b 00 CITY OF EVERETT BUSINESS LICENSE#(REQUIR ' • PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-493-8077 ext 30005 or 206-423-0594 Chuck Henderson CONTACT EMAIL:chenderson@emeraldcitypizza.com BUILDING INFORMATION Existing Use of Building:retail strip mall Contract Price of Work:$, 6'5,ttO"D Proposed Use of Building:Pizza take out store Heat Source: OGas ❑Electric ❑Other BUILDING USE. ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑✓T.I. ❑Sign ❑Sprinkler Demolition ❑Change of Use DESCRIPTION OF WORK: Pizza delivery and carryout restaurant tenant improvement in existing strip mall. Restroom plumbing is is existing. Neil' Hi A (.Ot-1 \NifTeiz ViriNC:, hlE-44 TASyst- 95 \NATE3 WeA.TER 14EYv 1 t-trelziotz. 5 Crt• Nt4.2. &R ASE WASTE Li hie$ CAS 4iplrc& ASSOCIATED BUILDING PERMIT#(if applicable): 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 1.. Gas Piping Backflow Preventer(Inside Bldg) _ Shower,Tub,or Combo Boiler • 'Gas Range Clothes Washer 6 Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless 1 Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration _Drinking Fountain 1 Sink-Utility, laundry,mop Exhaust Fans(Residential) Commercial Ventilatior Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) Water Heater 1 Interceptor-Grease 1 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/InserULog Roof Drains 1 Water Heater SPRINKLER/ SUPPRESSION SYSTEM Sewage Ejector or Sump Pump 1 Other: Water Suppression System No.of Heads 1 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 �' l-P C 1M pt �/ U.c.- PER M (�P;v 'u't(. 4.41,t___ • 9/6/19 � / I l4 Owner/Authorized Agent Signature Date (Revised 10/10/2018) l N rI z