902 N BROADWAY REFINED COFFEE 2023-02-06

PERMIT APPLICATI 112 BUILDINOPMECHANICAL/ PLUMBING / SIG PRINKLER/ 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: 1 Co 12- KS' e-0 a d t&it y Ali-e , evel,c I ( PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision BLot No. (attach copy of long legal description) CONTACT INFORMATION ,m'�„ e ni Ye r o,in .e i a h d TENANT BUSINESS NAME(Commercial): Re•-� � in/ `I1ed cocCee. OWNER MAILING ADDRESS: STREET 51 3 I t(et,.a t Avg CITY Gvek0-1--4- STATE YV A. ZIP N1-01 OWNER PHONE: Li-2c col v 2-7 OWNER EMAIL: J (7,i-ill r Wee 0 3(h al.(, co rn CONTRACTOR NAME: -OEJEJS ACJAckte.. .ok-k-tA-- VC-ek62------) CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR tgfOTHER(Please Specify) A-SS(-. C..71 ai-e De s-g Qn.u. CONTACT NAME: �e n CONTACT PHONE: (z) I ,3 0 41 �F tien CONTACT EMAIL: .9 e. c e i M 0 9 rhokit , (A 6 BUILDING INFORMATION ,I / Existing Use of Building: O , 6 I pi_L rps Contract Price of Work:$ . , 0 0 Proposed Use of Building: f i( 8 p S ci ,- F Heat Source: OGas ❑Electric ❑Other BUILDING USE: ❑SFR ETownhouse ❑Duplex ❑ADU EMulti-Family-#Units: 6ommercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.l. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: NOV) — Q€C4►^i, <t - T+Qs" -PtV-c51-I i -B'K-i-( tA/2S Ot►r, d 0171 (A)ov-,KS A-dct o ►l-e ( 4 e vv, G-7(i i--, C 11 cow- 0w, -1-)( t ( - 4O ASSOCIATED BUILDING PERMIT#(if applicable): Dry W 431% CE(I C‘lie. 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 bo Boiler Gas Range Clothes Washer Sink-Co rcial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher S' - esidential(kitchen,bath,bar) Duct System(Remodel) 7 frigeration 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(Reside, al) Wood Stove Interceptor-Sand/ ' Water Service(behind meter) Forced Air System Other: Medical Gas Water Valves or Fixtures Gas Fireplace/I. ert/Log Roof Dr ' s Water Heater SPRINKL• /SUPPRESSION SYSTEM> age Ejector or Sump Pump Other: Water Suppression stem No.of Heads Chemical Suppr-=sion System I 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.lam 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 � /,�/i 3 i ' -0.)0.) p PER M ) C 0 Ok Q 1 /. Owner/Authorized Agent Signature Date (Revised 10/10/2018) 7z.