4405 RUCKER AVE MILKHOUSE COFFEE CO 2022-08-04

t` PERMIT APPLICATI BUILDING MECHANICAL/ PLUMBING / SIGPRINKLER/ 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:4405 Rucker Ave, Everett, WA PROPERTY TAX#:00407800500300 LEGAL for new construction: Short Plat/subdivision T-29.R-05,S-31.Q-NE Lot No.22 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: WALLACE FAMILY LLC TENANT BUSINESS NAME(Commercial): MILKHOUSE LLC OWNER MAILING ADDRESS: STREET5101 WILMINGTON AVE, CITY EVERETT, STATE WA zip 98203-3303 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:TBD CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER ❑ CONTRACTOR ❑' OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:(425)252 2153 Paul Douglas (2812 Architecture) CONTACT EMAIL:paul@2812architecture.com BUILDING INFORMATION Existing Use of Building:Business Contract Price of Work: $ 5 S k. Proposed Use of Building:Business Heat Source: ❑Gas DElectric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.l. ❑Sign ❑Sprinkler ElDemolition ❑Change of Use DESCRIPTION OF WORK: 1962 S.F. TENANT IMPROVEMENT WITH SOME DEMOLITION. 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 G Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler s 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 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/ Water Service(behind meter) _ Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/L g Roof Drains Water Heater SPRINKLER/ SUPPRESSION SYSTEM Sewag jector or Sump Pump Other: Water Suppression System / No.of Heads Chemical Suppression Systim 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 PERS 02_ J Owne/Authori Ag t ignature ate (Revised 10/10/2018)