6731 BEVERLY BLVD BEVERLY FOOD TRUCK PARK 2023-05-10

MOBILE FOOD PREPARATION Permit Number: FMFV2304-001 Permit Type: MOBILE FOOD PREPARATION VEHICLE PERMIT VEHICLE V E R E T T Permit Subtype: City of Everett WASHINGTON Date Issued: 4/27/2023 PERMIT INFORMATION: SITE ADDRESS: PARCEL#: DESCRIPTION: REGIONAL FIRE MARSHALS MOBILE FOOD PREPARATION VEHICLE TENANT: INSP FIRE MARSHAL INSPECTION CONTACT INFORMATION: OWNER: PHONE: MAILING ADDRESS: , EMAIL: APPLICANT: Larry Kautzman PHONE: (425)422-0364 MAILING ADDRESS: 1300 West Marine View Drive N116 Everett,WA 98201 EMAIL: Kautzmankettlecorn@gmail.com CONTRACTOR: Larry Kautzman PHONE: (425)422-0364 MAILING ADDRESS: 15405 91st Ave SE Snohomish,WA 98296 EMAIL: Kautzmankettlecorn@gmail.com STATE CONTRACTOR'S LIC#: EVERETT BUSINESS LIC#: PERMIT FEES: DESCRIPTION COMMENTS QUANTITY FEE AMOUNT DATE PAID • FIRE REVIEW FEE 0 $88.00 4/27/2023 Percent Credit Card Fee 0 $2.02 4/27/2023 TOTAL: $90.02 PERMIT DETAILS: Name of Mobile Food Vehicle: Kautzman Kettle Corn Cooking Suppression System: Vehicle Description: 18 foot mobile food trailer Portable Fire Extinguishers:4/7/2023 12:00:00 AM License Plate Number: 97866AG LP Tanks:3/1/2022 12:00:00 AM List of Cooking Appliances: Kettle Corn Kettle Date of Last Fire Inspection: 5/5/2022 12:00:00 AM L& I Number: 1Z9Z1EL22NP475514 Fire Jurisdiction of Last Inspection: City of Everett PERMIT CONDITIONS: CONDITION TYPE CONTACT DATE ADDED DATE REQUIRED DATE SATISFIED STATUS REMARKS ACKNOWLEDGEMENT OF CONDITIONS By purchasing this permit and commencing work,the owner/applicant hereby agrees to hold and save harmless the City of Everett from any and all claims for damages, costs, expenses, or causes of action that may arise because of installation and maintenance of the improvement or other 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 thereby. Permit No.: FMFV2304-001 Page 1 of 2