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PERMIT APPLICATION <br />BUILDING�CHANICAL / PLUMBING / SIGN /�INKLER / 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 #: 2g051800402200 <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): JerSey Mike'S SubS <br />OWNER MAILING ADDRESS: sTReer 10554 NE 150th Court <br />�,n Bothell STATE WA Z,P 98011 <br />OwNER PHONE: (206) 399-8175 OWNER EMAIL: tim.trieb4621 @gmail.com <br />CONTRACTOR NAME: T•B•�� � '� j'L � <br />CONTRACTOR ADDRESS: sTREEr <br />CITY STATE ZIP <br />CONTRACTOR PHONE: CONTRACTOR EMAIL: <br />CONTRACTOR LICENSE #(REQUIRED): CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): <br />PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR �OTHER (Please Specify) Designer <br />CONTACT NAME: CONTACT PHONE: (206) 842-1253 <br />Carlos Alvarez CONTACT EMAIL: carlos@karreman.com <br />BUILDING PERMIT APPLICATION <br />Existing Use of Building: Restaurant Contract Price of Work: $ 1�0 � r'j, �(� (,' <br />Proposed Use of Building: Restaurant Heat Source: ❑Gas ✓❑Electric ❑Other <br />Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-# of Units: ✓❑Commercial ❑Industrial <br />Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑✓ T.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 />� � G ��1 �; .'�. � �i;�',� <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 Lisi of Fixtures # of List of Fixtures # of ��st of Fixtures # of List of Fixtures <br />Fixtures Fixtures - Fixtures Fixtures <br />+ A/C — Air dling Units Heat Pump � Toilet z Backflow Preventer (Inside Bldg) <br />� Forced Air Sys s Unit Heater Bathtub Urinal <br />� Gas Piping Boiler � Lavatory (Wash Basin) 3 Drinking Fountain <br />Water Heater �' Refrigeration Shower 4 Floor Drain <br />Gas Fireplae Wood Stove � Kitchen Sink & Disposal � Grease Trap <br />� Gas Ranc,ye Ducting Dishwasher Roof Drains <br />Clothes Dryer Hookups � Other: Clothes Washer Medical Gas <br />� Range Hood � Water Heater Other: <br />3 Exhaust Fan 5 Sink (Service/Bar/Mop/etc.) Other. <br />SPRINKLER / SUPPRESSION SYSTEM <br />Number of Heads <br />ACKNOWLEDGEMENT: 1 have reviewed this application and confirm the information contained herein is true and co�rect. Work done pursuant to this pe�mit 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 autho�ized in writing from the <br />Building Official before being authorized under any circumstance. I am the owner, or 1 am authonzed by the owne� of this property to perform the work for which app/ication is made, <br />and I comp/y with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />�� <br />nature <br />2/26/2016 <br />Date <br />City of Everett Official Use Only <br />PERMIT # <br />, 1��0 �' �l0 <br />(Revised 10/12/2015) � <br />