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III <br /> PERMIT APPLICATION • <br /> BUILDING/MECHANICAL/PLUMBING /SIGN /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:2702 Broadway PROPERTY TAX#:00439162902800 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Northwest Restaurants Inc. TENANT BUSINESS NAME(Commercial): KFC <br /> OWNER MAILING ADDRESS: STREET 18815 139th Ave NE, Suite C <br /> crry Woodinville STATE WA ZIP 98072 <br /> OWNER PHONE: 425 486 6336 OWNER EMAIL:asibert@nri-inc.com <br /> CONTRACTOR NAME:Ziva <br /> CONTRACTOR ADDRESS: STREET 1402 Lake Tapps Parkway SE#104-111 <br /> ciTr Auburn STATE WA zip 98092 <br /> CONTRACTOR PHONE: 509-808-6061 CONTRACTOR EMAIL:zivabuilderstodd@gmail.com CO A C <br /> CONTRACTOR LICENSE#(REQUIRED):ZIVAEE1886Q1 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR O OTHER(Please Specify) Dimensions. Inc <br /> CONTACT NAME: CONTACT PHONE:425-827-9293 <br /> Jeremy Smith CONTACT EMAIL:jsmith@dime sionsarch.c m <br /> BUILDING INFORMATION `_ <br /> Existing Use of Building:Restaurant Contract Price of o :$160,000.00 <br /> Proposed Use of Building:Restaurant Heat Source: ❑G s ❑Electric Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ElMulti-Family-#Units: ❑✓Commerci ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑✓Remodel ❑Repair ❑T.I. ❑Sign ❑Sprin r ❑Demolitio ❑Change of Use <br /> DESCRIPTION OF WORK: aGluo s fie t/,meted- ei, tom, )em ' 3i.4 'pt 1716-0- <br /> Remove existingsignage, exterior �G mo�t,. /4 �4'� f�44 '' <br /> appurtenances, interior seating, ceiling grid and flo til er Ian. Paint exterior, at�ach"rSew <br /> appurtenances and signage and install new interior finishes per plans. 'I i S /�/- <br /> ASSOCIATED BUILDING PERMIT#(if applicable): `Jl '11 t QiNkul`, de-40-,,,.Lc-f <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures Court List of Fixtures Count List of Fixtures Count List of Fixtures <br /> A/C—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&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilatior 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/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.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 /> Q9_ ------- 10/14/2019 Ii9i1 9Z S <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br /> G2 <br />