305 SE EVERETT MALL WAY JAMBA JUICE 2023-02-06

• PERMIT APPLICATION. BUILDING / MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ 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:365 SE ;EVERETT MALL- WAY 97430 PROPERTY TAX#:280$/9G0 30y3iO LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:6QEEN TREE Pjgz4 o6 A LL.G TENANT BUSINESS NAME(Commercial): 5A/1'1c3/i Yui GE OWNER MAILING ADDRESS: STREET /Z Y// vE i11 TO/LA 811J CITY S7vOl0 GI l Y STATE CA ZIP 9/S01"/ OWNER PHONE: 8/8 50s-6 777 OWNER EMAIL: CONTRACTOR NAME: /4E4774 NoieT//W6s CONTRACTOR ADDRESS: STREET // D 27/0 IC/ 774 S h ? -Z 5 CITY A•10E WOOD STATE YV/T .LI ZIP /8#/ f CONTRACTOR PHONE:257j,4 95. 7 Q 9/ CONTRACTOR EMAIL: b b f oS n c{v�hecii n QI.4-�,We6- _ co.41 CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): ") I (lI PRIMARY CONTACT: D OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 2,3 6i c75 I 1 Be I/�1V Q kOS/VAi CONTACT EMAIL: ��rOS4 a�(Q`heq+II/2044 coeS"/ Ca."/ BUILDING INFORMATION Existing Use of Building: 60,47/17E2C r4 L / Contract Price of Work:$ t�iG • c' Proposed Use of Building: Co', d-/eCI 4'L- l /Z,E"74-/L. Heat Source: ❑Gas DElectric DOther BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.l. Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: I/1/467:44.4_ CZ )LLOir1l.v47EO SE75 op CH7}v -c t_-77 2S 60 /Qf}G(�-4/4 IQ0014 t` Z v' &4 . Sma07/ Cs.��rcc- . aowzS - 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 Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler Gas 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 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(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER I SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System 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 PERMIT# 00 r' g Date (Revised 10/10/2018)