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PERMIT APPLICATIO <br /> 16.1111 <br /> BUILDINGIECHANICAL! PLUMBING 1 SIGN RINKLER! DEMOLITION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.evereitwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 10 SE EVERETT MALL WAY, EVERETT PROPERTY TAX#:00396900003300 <br /> LEGAL for new construction: Short Plat/subdivision N/A Lot No.33.44,5' (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: ESTVOLD EVERETT RENTALS LLC TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: emeeT4409 SHELBY COURT <br /> ciTY ANACORTES STATE WA ZIP 98221 <br /> • <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: 0 tlO N E(L— <br /> CONTRACTOR ADDR dSTR <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: In OWNER ❑CONTRACTOR CI OTHER(Please Specify)ARCHITECT <br /> CONTACT NAME: CONTACT PHONE.:425,377.8786 <br /> MARTIN REIMERS CONTACT EMAIL:MREIMERS@CONCEPTARCHITECTURE.COM <br /> BUILDING INFORMATION <br /> Existing Use of Building:RESTAURANT Contract Price of Work:$170,000 <br /> Proposed Use of Building:OFFICE Heat Source: ['Gas DElectric DOther <br /> BUILDING USE: CISFR ❑Townhouse ❑Duplex ❑ADU ❑Mufti-Family-#Units: L Commercial ❑Accessory Structure <br /> Type of Project: [New ❑Addition ❑Remodel ❑Repair ❑✓T,l. ❑Sign ❑Sprinkler ODemolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Tenant Improvement to split a space previously used as a restaurant into two office spaces. A new restroom and <br /> access doors will be added to accomodate the new space. <br /> ASSOCIATED BUILDING PERMIT# applicable): <br /> if a : <br /> ( pp ) <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixture Fixture <br /> Cou List of Fixtures count List of Fixtures Count List of Fixtures Count LI • Fixtures <br /> —Air Handling Units Gas PI• s Backtlow Preventer(Inside Bldg) Shower •,or Combo <br /> Boil- G. 'ange ► •thes Washer 1 Si ommerclal(3-comp,prep,fioor) <br /> Clothes D • eat Pump&Ductiess Dish -.her k-Residential(kitchen,bath,bar) <br /> Duct System(R= gel) Refrigeration Drinking tain Sink-Utility,laundry,mop <br /> Exhaust Fans(Reside Commercial Ventilation Floor Drain Toilet <br /> Exhaust Hood(Type i) (Not Heat/AC system) Hose Bibb 1 Urinal <br /> Exhaust Hood(Ty. ater Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood `• Identiai) '. •Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air ems Other: Medical Gas ater Valves or Fixtures <br /> Gas Fi • . ace/Insert/Log Roof Drains '. -eater <br /> SP: KLER/SUPPRESSION SYSTEM Sewage E)•- 'r or Sump Pump Other: <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System l No,of Heads <br /> ACKNOWLEDGEMENT:/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 law.The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> Building Official before being authorf : nder 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 comply with the State Cont: ors L;w 18,27 RCW and 298.200A WAC. <br /> City of Everett Official Use Only <br /> gal PE <br /> ale r20t• <br /> 06 <br /> Owner/A orlze. en I nature (Revise• *110/2018} <br /> I � <br />