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0 PERMIT APPLICATIOA <br />BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION <br />EVERETT 32CITY OF EVERETT PERMIT SERVICES <br />00 CEDAR STREET, EVERETT, WA 98201 <br />WASHINGTON (P) 425-257-8810 I FAX 425-257-8857 l (E) everetteps@everettwa.gov l www.everettwa.gov/permits <br />Blue or Black Ink Only Pleaso PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS:1401 Broadway Ave Everett, WA 98201 <br />PROPERTY TAX #: 00547428700100 <br />LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: Debra Campbell TENANT BUSINESS NAME (Commercial): Ray's Drive In <br />OWNER MAILING ADDRESS: STREET 1401 Broadway Ave <br />ciTr Everett STATE WA zip 98201 <br />OWNER PHONE: <br />OWNER EMAIL: <br />CONTRACTOR NAME: New Castle Mechanical <br />CONTRACTOR ADDRESS: STREET 9823 160th St E Suite A <br />CITY Puyallup STATE WA zip 98375 <br />CONTRACTOR PHONE: 253-503-7390 <br />1CONTRACTOR EMAIL: stephanie.newcastle@comcast.net <br />CONTRACTOR LICENSE #(REQUIRED): NEWCACM9240D <br />ICITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 58524 <br />PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />Jim Givens or Stephanie Givens <br />CONTACT PHONE: 253-380-3210 <br />CONTACT EMAIL: jim.newcastle@comcast.net stephanie.newcastle@comcast.net <br />BUILDING INFORMATION <br />Existing Use of Building: restaurant lContract <br />Price of Work: $ 32 500 <br />Proposed Use of Building: JHeat <br />Source: C]Gas ❑Electric E30ther <br />BUILDING USE: OSFR ❑Townhouse DDu lex DADU (]Multi -Family- # Units: OCommercial OAccessory Structure <br />Type of Project: ❑New DAddition ©Remodel EIRepair 13T.1. DSi n DS rinkler ❑Demolition OChan a of Use <br />DESCRIPTION OF WORK: Install commercial kitchen hood system with 2 hoods, 2 exhaust fans and 1 make up air unit <br />ASSOCIATED BUILDING PERMIT # if applicable): <br />MECHANICAL <br />PERMIT <br />APPLICATION <br />PLUMBING PERMIT <br />APPLICATION <br />Fixture <br />Count <br />List of fixtures <br />R�,re <br />count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />A/C — Air Handling Units <br />Gas Piping <br />Backflow Preventer (Inside Bldg) <br />Shower, Tub, or Combo <br />Boiler <br />Gas Range <br />Clothes Washer <br />Sink -Commercial (3-comp,prep,floor) <br />Clothes Dryer <br />Heat Pump&Ductless <br />Dishwasher <br />Sink -Residential (kitchen,bath,bar) <br />Duct System (Remodel) <br />Refrigeration <br />Drinking Fountain <br />Sink -Utility, laundry, op <br />Exhaust Fans (Residential) <br />1 <br />Commercial Ventilatior <br />Not Heat(AC system) <br />Floor Drain <br />Toilet <br />2 <br />Exhaust Hood (T pe 1) <br />Hose Bibb <br />Urinal <br />Exhaust Hood (Type II) <br />Water Heater <br />Interceptor -Grease <br />Waste/Water Piping Repair <br />Exhaust Hood (Residential) <br />Wood Stove <br />Interceptor-Sand/Oil <br />Water Service (behind meter) <br />Forced Air Systems <br />I Other: <br />Medical Gas <br />Water Valves or Fixtures <br />Gas Fireplace/Insert/Log <br />I <br />oof Drains <br />Water Heater <br />SPRINKLER / SUPPRESSION <br />SYSTEM : <br />Sewage Ejector or Sump Pump <br />Other: <br />ater Suppression System <br />I <br />INo. of Heads <br />lChemical Suppressio—n—&'ystern <br />I <br />INO. of Heads <br />ACKNOWLEDGEMENT. • / 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 and no deviations therefrom. Deviations must first be authorized in writing from the <br />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, <br />and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />City of Everett Official Use Only <br />PERMIT <br />(Revised 1011012018) <br />