607 SE EVERETT MALL WAY 7 ELEVEN 2022-01-24

PERMIT APPLICATIO• 11.1 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: 607 SE Everett Mall Way PROPERTY TAX#:28051 800304000 LEGAL for new construction: Short Plat/subdivision Legal Description Attached Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Alex Jo-NW Prime Properties, inc. TENANT BUSINESS NAME(Commercial): 7-1 1 OWNER MAILING ADDRESS: STREET6947 Coal Creek Parkway Southeast, Suite 269 crr Newcastle STATE WA ZIP 98059 OWNER PHONE: (206)226-5678 OWNER EMAIL:alex©nwprime.com CONTRACTOR NAME:TI/U.jI eV CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) architect CONTACT NAME: 'CONTACT PHONE:(425)252-2153 Adam Clark - 2812 architecture CONTACT EMAIL:adam©2812architecture.com BUILDING INFORMATION Existing Use of Building:Convenience Store Contract Price of Work: $75,000.00 Proposed Use of Building:Convenience Store Heat Source: ❑� Gas ❑Electric DOther 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: Demolition of existing interior improvements to provide a vanilla shell for the future tenant 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,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 Ventilatior 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/InserULog 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 PERMITCae3 [1 ��® l'�f v�d 06/08/2020 /� 1 Owner/Authorized Agent Signature _ Date (Revised 10/10/2018) 1