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• PERMIT APPLICATION <br /> BUILDING / MECHANICAL / PLUMBING / SIGN /SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 4e7T 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 316 SE Everett Mall Way PROPERTY TAX#: 28051 800303800 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: McDonald's Corp. - Adam Brandenburg TENANT NAME(If Commercial): McDonald's <br /> OWNER MAILING ADDRESS: STREET 12131 113th Ave NE, Ste. 103 <br /> CITY Kirkland STATE WA zip 98034 <br /> OWNER PHONE: 509-Q43-K.1 6 OWNER EMAIL: Adam.Brandenburg@us.mcd.com <br /> CONTRACTOR NA E: <br /> CONTRACTOR <br /> CONTRACTOR AD ESS: REET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): -4��IQTY OF EVERETT BUSINESS LICENSE#(REQUIRED <br /> PRIMARY CONTACT: ❑OWNER ❑CONT-kACTOR ® OTHER(Please Specify) Architectural Designer <br /> CONTACT NAME: Frelhelt & Ho Architects CONTACT PHONE: 425-827-2100 <br /> Bradley Brown CONTACT EMAIL: bbrown@fhoarch.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Restaurant Contract Price of Work: ��. <br /> Proposed Use of Building. Restaurant I Heat Source: ®Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ®Commercial ❑Industrial <br /> Type of Project: []New INAddition ®Remodel ❑Repair ❑T.I. ❑Sign []Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Work to include eliminating the mansard roof and replacing with parapets, small cash <br /> booth addition, updating the dining & rest rooms to meet accessibility requirements. Painting the existing <br /> building, adding updated corporate branding elements, and updating the site for accessibility requirements, <br /> and replacing the drive thru menu boards. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New Addn Alteration Repair Type of Project: New Addn Alteration Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C-Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> Number 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 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 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, <br /> and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> caner/Authorized Agent Signature Date (Revised 5120012016) 7 <br />