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• • <br /> ma <br /> PERMIT APPLICATION <br /> mi <br /> BUILDING/MECHANICAL/PLUMBING/SIGN I SPRINKLER/DEMOLITION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa,gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS;11610 Evergreen Way PROPERTY TAX#:00442900402002 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: CFT DEVELOPMENTS LLC TENANT BUSINESS NAME(Commercial): Panda Express <br /> OWNER MAILING ADDRESS: STREET 1683 WALNUT GROVE AVE <br /> crry ROSEMEAD STATE CA ZIP 91770 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME:CRAFT FACILITY MANAGEMENT CO <br /> CONTRACTOR ADDRESS: sTREET2306 Losee Rd <br /> cm North Las Vegas STATE NV zip 89030-4108 <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: .,, --� <br /> CONTRACTOR LICENSE#(REQUIRED):CC CRAFTFM897K4 CITY OF EVERETT BUSINESS LICENSE#(REQUIR D): 61162 ) <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) Sign contractor <br /> CONTACT NAME: CONTACT PHONE:820-425-9807 __ <br /> Sarah Peters CONTACT EMAIL:speters@jonessig . OM �� <br /> BUILDING INFORMATION <br /> Existing Use of Building:Panda Express Contract Price of Work: 2,500 fl <br /> Proposed Use of Building: Heat Source: CIGas OEiectric ©Other •,- <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU DMulti-Famliy-#Units: ❑✓Commercials.,.-Eccessory Structure <br /> Type of Project: ❑✓New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler t rri' 16)'C]n ❑Change of Use <br /> DESCRIPTION OF WORK: installation of one (1)additional menuboard to existing Panda Express drive thru <br /> ASSOCIATED BUILDING PERMIT#(If applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture List of Fixtures Flxturo Fixture Fixture <br /> Count Count List of Fixtures Count List of Fixtures Count List of Fixtures <br /> NC—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer Heat Pump&Ductiess Dishwasher Sink-Residential(kllchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventitatior Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems Other. Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof Drains Water Heater <br /> SPRINKLER 1 SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System I No.of Heads • <br /> 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 <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.lam the owner,or lam authorized by the owner of this property to perform the work for which application is made, <br /> and!comply with the State Contractors Law 18.27 RCW and 298.200A WAC. <br /> City of Everett Official Use Only <br /> a..n Pam _...._....- 1-8.2021 PE # \` 0 46 0 L( <br /> ✓_ <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br /> )1/i <br />