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PERMIT APPLICATION <br />BUILDING•ECHANICAL / PLUMBING / SIGN �RINKLER / DEMOLITION <br />CITY OF EVERETT PERMIT SERVICE <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits <br />PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS:1130 SE Everett Mall Way, Suite B PROPERTY TAX #: 28051800402200 <br />LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: Tim Trieb TENANT NAME (If Commercial): Je�sey Mlke's Subs <br />OWNER MAILING ADDRESS: sTReeT 10554 NE 150th Court <br />�in Bothell sTnrE WA zia 98011 <br />OWNER PHONE: (206) 399-8175 OWNER EMAIL: tim.trieb4621 @gmail.com <br />CONTRACTOR NAME: T•B��� ��jC, � Yl ��J <br />CONTRACTOR ADDRESS: srREET <br />C�TY STATE ZIP <br />CONTRACTOR PHONE: CONTRACTOR EMAIL: <br />CONTRACTOR LICENSE #(REQUIRED): CITY OF EVERETT BUSINESS LICENSE #(REQUIRED�: <br />PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR QOTHER (Please Specify) DeSigner <br />CONTACT NAME: COMTACT PHONE: (206) 842-1253 <br />Carlos Alvarez CONTACT EMAIL: carlos@karreman.com <br />BUILDlNG PERMIT APPLICATION <br />_ <br />Existing Use of Building: Restaurant Contract Price of Work: $•�'eQ0 �� �L� 1 <br />Proposed Use of Building: Restaurant Heat Source� ❑Gas ❑✓ Electric ❑Other <br />Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family�# of Units: QCommercial ❑Industrial <br />Type of Project: ❑New ❑Addition ❑Remodel ❑Repair QT.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br />DESCRIPTION OF WORK: <br />Commercial tenant improvement to an existing space into a 1,135 sf sandwich shop. <br />� yi"�` L l�d D <br />ASSOCIATED BUILDING PERMIT # (if applicable): <br />PLUMBING PERMIT APPLICATION <br />Typ f Project: _New _Addn QAlteration _Repair <br /># of Lisi Fixtures # of Lisf of Fixtures <br />Fixtures Fixtures <br />� Toilet z ckflow Preventer (Inside Bldg) <br />Bathtub Urinal <br />� Lavatory (Wash Basi 3 Drinking Fountain <br />Shower 4 Floor Drain <br />� Kitchen Sink & Di osal � Grease Trap <br />Dishwasher � Roof Drains <br />Clothes W her Medical Gas <br />+ Water H ater er: <br />5 Sink ( ervice/Bar/Mop/etc.) Other: <br />ACKNOWLEDGEMENT: I have reviewed this application and confirm the information contained herein is t�ue and correct. Work done pursuanf to this pe�mit must comp/y 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. 1 am the owner, o� / am authorized by the owner of this property to perform the work for which app/ication is made, <br />and I complDlvith the State Contractors Law 18.27 RCW and 296.200A WAC. <br />r <br />2/26/2016 <br />Date <br />City of Eve�ett Official Use Only <br />PERMIT # <br />�fil, � l� ��' 6� <br />(Revised 10/12/'2015) � /Z <br />� <br />