607 SE EVERETT MALL WAY JOHNEES BAKE SHOP 2017-04-24

41477. PERMIT APPLICATI BUILDINNMECHANICAL/ PLUMBING /SIG PRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits 3 ' `f 1+�,�1 , PROJECT SITE INFORMATION POJEC SITE_ADDRESS.: PROPERTY TAX#: ! 1 p 1)7 ci at-un-nol,tdif-V 00 t141 14- LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION 1 OWNER NAME: Rh/tt 1 ¶G' 6 TENANT NAME(If Commercial): y-O c /pi & 14/C. ] OWNER MAILING ADDRESS: STREET 616 I Cr "NW, (AW? 4-06. RA CITY 6 ,4""{ STATE (4. ZIP 1 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: ��'� � Lii� CONTRACTOR ADDRESS: STREET Zy61f 5 J ! / 2y t ,411 , A)�X kik CITY /� Z l'10�^y + STATE kik ZIP Z t 3 CONTRACTOR PHONE: `I2 " ,1,, / 4.9l"`A VCONTRACTOR EMAIL: i{� )e I° ipi e : („� CONTRACTOR LICENSE#(REQUIRED): 12 VA,iJ /,li 7 2 L Z CITY OF EVERET*BUSINESS LICENSE#(REQUIRED): bog egg PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ Proposed Use of Building: Heat Source: ❑Gas 0 Electric ❑Other. Building Type: 0 SFR-Detached ❑SFR-Attached 0 Duplex ❑Multi-Family-#of Units: ❑Commercial 0 Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: j ligl 1 I vivV. p( - 411k(i J . iV1 r1,2. pic;4,j) 9 c 0 di- 11 --�`'_ ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _._New _ Addn _Alteration _Repair Type of Project: _New Addn Alteration _Repair #of #of #of I #of Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures A/C—Air Handling UnitsHeat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems , Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Z Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan I ( Sink(Service/Bar/Mop/etc.) Other: SPRINKLER I SUPPRESSION SYSTEM Number of Heads 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 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 Building Official before being authorized 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, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# 4��/`� -2,/q/(, r( to� -C)�� Owner/Autho?- d Agent Signature Date (Revised 10/12/2015)