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MOBILE FOOD PREPARATION Permit Number: FMFV2303-002 <br /> Permit Type: MOBILE FOOD PREPARATION V <br /> V PERMIT Permit Subtype: <br /> FVERIETT City of Everett Date Issued: 4/12/2023 <br /> WASHINGTON Request Inspections: OnlinePermits.everettwa.gov <br /> PERMIT INFORMATION: <br /> SITE ADDRESS: 19515 44th Ave W#A PARCEL#: <br /> DESCRIPTION: Fire Permit TENANT: <br /> Mobile Food Unit <br /> CONTACT INFORMATION: <br /> OWNER:Joseph Hardy PHONE: (206)475-9973 <br /> MAILING ADDRESS: 16705 NE 16th PI Bellevue,wa 98008 EMAIL: splitopenandmeltco@gmail.com <br /> APPLICANT:Split Open and Melt PHONE: (206)475-9973 <br /> MAILING ADDRESS: 19515 44th Ave Lynnwood,Wa 98036 EMAIL: splitopenandmeltco@gmail.com <br /> CONTRACTOR:Joseph Hardy PHONE: (206)475-9973 <br /> MAILING ADDRESS: 19515 44th Ave Lynnwood,Washington,WA 98036 EMAIL: splitopenandmeltco@gmail.com <br /> STATE CONTRACTOR'S LIC#: EVERETT BUSINESS LIC#: <br /> PERMIT FEES: <br /> DESCRIPTION COMMENTS QUANTITY FEE AMOUNT DATE PAID <br /> FIRE REVIEW FEE 0 $88.00 4/11/2023 <br /> Percent Credit Card Fee 0 $2.02 4/11/2023 <br /> TOTAL:$90.02 <br /> PERMIT DETAILS: <br /> Name of Mobile Food Vehicle: 2064759973 Cooking Suppression System:4/2/2023 12:00:00 AM <br /> Vehicle Description: 14'Trailer Portable Fire Extinguishers:4/2/2023 12:00:00 AM <br /> License Plate Number: 70800AH LP Tanks:2/1/2020 12:00:00 AM <br /> List of Cooking Appliances: 28" Flat top grill Date of Last Fire Inspection: <br /> 40lbs Deep Fat Fryer <br /> L& I Number: 1D9BU1427LN451929 or ISVEN2000088 or V3314 or Fire Jurisdiction of Last Inspection: <br /> 1571 <br /> PERMIT CONDITIONS: <br /> CONDITION TYPE CONTACT DATE ADDED DATE REQUIRED DATE SATISFIED STATUS REMARKS <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> By purchasing this permit and commencing work,the owner/applicant hereby agrees to hold and save harmless the City of Everett from any and <br /> all claims for damages, costs,expenses, or causes of action that may arise because of installation and maintenance of the improvement or other <br /> right-of-way use here to applied for and further agrees to remove same upon notice from the City and to replace public property damaged <br /> EVERETT Permit No.: FMFV2303-002 Page 1 of 2 <br /> WASHINGTON <br />