Laserfiche WebLink
PERMIT APPLICATION <br /> OLT BUILDING MECHANICAL / PLUMBING /SIG PRINKLER / DEMOLITION <br /> CITY OF EVERETT PERMIT SERVIL�o <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (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:10521 19th Ave Se. PROPERTY TAX#:280520-002-030-00 <br /> LEGAL for new construction: Short Plat/subdivision see attached Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: SILVER PLAZA RESTAURANT, LLC. TENANT BUSINESS NAME(Commercial): TO BE DETERMINED <br /> OWNER MAILING ADDRESS: STREET 1520 140TH AVE NE, SUITE 100, <br /> clry Bellevue STATE WA ZIP 09005 <br /> OWNER PHONE: 425-232-8338 OWNER EMAIL:fang888999@yahoo.com <br /> CONTRACTOR NAME: selected ►N Mown 1I A/t/{1`(/( 4,, 1�"� 1 i \ytl. . <br /> CONTRACTOR ADDRESS: STREET I V� <br /> CITY STATE <br /> ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: y, <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 32,,, l b <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) designer <br /> CONTACT NAME: CONTACT PHONE:425-827-3438 <br /> Michelle J. Leszcynski CONTACT EMAIL:michelle@sgidinc.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:1 st tenant in space-building permit as A2 Contract Price of Work:$ /Oc7 j CDC-3 <br /> Proposed Use of Building:A2-Resturant Heat Source: ❑Gas DElectric DOther <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ET.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: TENANT IMPROVEMENT - FIRST TENANT IN SPACE - NEW RESTAURANT TO INCLUDE <br /> NON BEARING INTERIOR PARTITION WALLS, KITCHEN EQUIPMENT,CASEWORK AND FURNITURE <br /> SPACE PERMITTED AS A-2 UNDER SHELL AND CORE PERMIT SHARED RESTROOMS PERMITTED UNDER SHELL <br /> ASSOCIATED BUILDING PERMIT#(if applicable): B17o3-024 <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture List of Fixtures Fixture Fixture Fixture <br /> Count Count List of Fixtures List of Fixtures List of Fixtures <br /> Count Count <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 Ventilation 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/InserULog Roof Drains Water Heater — <br /> SPRINKLER I SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System 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 I -•. he granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> Buildin. Official.- . e being a horiz-. 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 c;, ,.ly w •ate Con actors aw 18.27 RCW and 296.200A WAC. <br /> L� !�J City of Everett Official Use Only <br /> \ ,1 1 PER t O <br /> ceLj\tt <br /> thorl Age i. -ture Date (Revised 10/10/2018) <br /> -cam ��--� 1 t . t t — IL <br />