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PERMIT APPLICATIO• <br /> BUILDIN/MECHANICAL/ PLUMBING / SIGN / SPRINKLER / DEMOLITION <br /> 7� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 2510 Broadway Ave Everett, WA 98201 PROPERTY TAX#: 00439156602500 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: SEAWEND LTD TENANT NAME(If Commercial): Wendy's Restaurant <br /> OWNER MAILING ADDRESS: STREET 1144 Goodale Blvd <br /> CITY Columbus STATE OH zip 43212 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAM- ; Yc ., <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): 'St l� Ct2 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):LASO <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR V OTHER (Please Specify) Architect <br /> CONTACT NAME: CONTACT PHONE: 425-271-1 875 <br /> IHoward Kimura CONTACT EMAIL: hgkimura@comcast.net <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Quick Serve Restaurant Contract Price of Work:$ 9 (1 j chi <br /> Proposed Use of Building: Qiock Serve Restaurant Heat Source: OGas` ❑Electric ❑Other _ <br /> Building Type: DSFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: IaCommercial ❑Industrial <br /> Type of Project: ❑New OAddition 12Remodel DRepair T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> I W Replace upper metal siding, o�e irr�ni�-irtside;-fep�e Cig-titrin kite en, rep e <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION t PLUMBING PERMIT APPLICATION <br /> Type of Project: New _ Addn ✓Alteration _Repair Type of Project: _New _Addn �Alteration _Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures it of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—Air Handling Units Heat Pump Toilet Backflow Preventer (Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink (Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/ SUPPRESSION SYSTEM <br /> Chemical or Water 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.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/comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> f 7 PERMIT#h3/2 0--5 <br /> Owper)uthori d A§Ent Signature Date (Revised 9/23/2016) <br />