10121 EVERGREEN WAY PIZZA HUT 2021-11-02

NM 0 PERMIT APPLICATION W \CIA G • 3 Ll BUILDING / MECHANICAL/ PLUMBING /SIGN / SPRINKLER/ DEMOLITION 32 EVERETT CITY OF EVERETT PERMIT SERVICES 32� 3 00 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits5L.. J Ce: --• (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 on-y Mukilteo STATE WA ZIP 98275 OWNER PHONE: 425-493-8077 ext 30005 OWNER EMAIL:chenderson@emeraldcitypizza.com CONTRACTOR NAME:AIC Services Inc CONTRACTOR ADDRESS: STREET 10004 66th Ave E CITY Puyallup STATE WA ZIP 98373 CONTRACTOR PHONE: 253-848-5948 CONTRACTOR EMAIL: rob.aic@comcast.net CONTRACTOR LICENSE#(REQUIRED‘...„ I2,C(-h 11 C 0 4.;CYL 'CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 034947 PRIMARY CONTACT: O 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:$210,000 Proposed Use of Building:Pizza take out store Heat Source: OGas DElectric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: L1Commercial ❑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 is existing. Replace storefront doors/glazing system. Provide interior build-out. Structural modifications for RTUs. New interior floor, wall and acoustical ceiling finishes. 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 Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub, .r Combo Boiler _ Gas Ran•- Clothes Washer Sink-Co r• ercial(3-comp,prep,floor) Clothes Dryer _ Heat :.mp&Ductless Dishwasher Si -esidential(kitchen,bath,bar) Duct System(Remodel) - igeration Drinking Fountain ink-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(Residentia Wood Stove Interceptor-Sand/Oil Water Service(behind meter) Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Inse .. og Roof Drains Water Heater SPRINKLER / ' UPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System Chemical Suppression System INoNo of.of Heads 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/comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only et /� �f,� PERMIT# (�(/�\ i,6)L,J v i��2c 1,, _ 9/6/19 n.09 —W Owner/Authorized Agent Signature Date (Revised 10/10/2018)