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MOBILE FOOD PREPARATION Permit Number: FMFV2303-001 <br /> Permit Type: MOBILE FOOD PREPARATION V <br /> V PERMIT Permit Subtype: <br /> FVERIETT City of Everett Date Issued: 3/15/2023 <br /> WA S H I N G TO N Request Inspections: OnlinePermits.everettwa.gov <br /> PERMIT INFORMATION: <br /> SITE ADDRESS: 9602 EVERGREEN WAY PARCEL#: 00480200300700 <br /> DESCRIPTION: DOS HERMANOS CHAPINES FOOD TRUCK TENANT: <br /> Food Truck <br /> CONTACT INFORMATION: <br /> OWNER: IMRANS MARKET II LLC PHONE: <br /> MAILING ADDRESS:9602 EVERGREEN WAY EVERETT,WA 98204-7140 EMAIL: <br /> APPLICANT: LUCAS ISMAEL PHONE: (425)530-1651 <br /> MAILING ADDRESS: EMAIL: LUCASISMAELI@ICLOUD.COM <br /> CONTRACTOR: PHONE: <br /> MAILING ADDRESS: EMAIL: <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 3/15/2023 <br /> TOTAL:$88.00 <br /> PERMIT DETAILS: <br /> Name of Mobile Food Vehicle: DOS HERMANOS CHAPINES Cooking Suppression System: 1/1/2023 12:00:00 AM <br /> Vehicle Description: 1980 FORD ECONO CUTAWAY Portable Fire Extinguishers: 1/1/2023 12:00:00 AM <br /> License Plate Number: C16851S LP Tanks: 1/1/2023 12:00:00 AM <br /> List of Cooking Appliances: ONE STOVE WITH FOUR BURTNERS,ONE Date of Last Fire Inspection: 1/1/2023 12:00:00 AM <br /> FLATTOP GRIDDLE <br /> L& I Number: 604702376 Fire Jurisdiction of Last Inspection: N/A NO INSPECTIONS YET <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 /> thereby. <br /> EVERETT Permit No.: FMFV2303-001 Page 1 of 2 <br /> WASHINGTON <br />