1130 SE EVERETT MALL WAY SUITE #B JERSEY MIKES SUBS 2017-04-20

PERMIT APPLICATION BUILDING�CHANICAL / PLUMBING / SIGN �RINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICE 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/perm ts ' PROJECT SITE INFORMATION ` PROJECT SITE ADDRESS:1130 SE Everett Mall Way, Suite B PROPERTY TAX #: 28051800402200 LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Tim Trieb TENANT NAME (If Commercial): Jefsey Mike's Subs OWNER MAILING ADDRESS: sTREET 10554 NE 150th Court cin Bothell srnrE WA ziP 98011 OWNER PHONE: (206) 399-8175 OWNER EMAIL: tim.trieb4621 @gmail.com CONTRACTOR NAME: T�B��• 7 �(t , CONTRACTOR ADDRESS: sTREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE #(REQUIRED): CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR QOTHER (Please Specify) DeSigner CONTACT NAME: CONTACT PHONE: (206) 842-1253 Carlos Alvarez CONTACT EMAIL: carlos@karreman.com ' BUILDING PERMIT APPLICATION Existing Use of Building: Restaurant Contract Price of Work: $�0;000 1/�, �� Proposed Use of Building: Restaurant Heat Source: ❑Gas Q✓ Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-# of Units: ✓❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑✓ T.I. ❑Sign ❑Sprinkler ❑Demo�ition ❑Change of Use DESCRIPTION OF WORK: Commercial tenant improvement to an existing space into a 1,135 sf sandwich shop. ASSOCIATED BUILDING PERMIT # (if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATIOI� Type of Project: _New _ Addn �Alteration _Repair Type of Project: _New _Addn �Alteration __Repair # of List of Fixtures #�f List of Fixtures # of List of Fixtures # of List af Fixtures Fixtures Fixtures Fixtures Fixtures � A/C —Air Handling Units Heat Pump � Toilet z Backflow Preventer (Inside Bldg) � Forced Air Systems Unit Heater Bathtub Urinal � Gas Piping Boiler � Lavatory (Wash Basin) 3 Drinking Fountain Water Heater 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: 3 Exhaust Fan 5 Sink (Service/Bar/Mop/etc.) Other: SPRINKLER I SUPPRESSION SYSTEM Number of Heads ACKNOWLEDGEMENT: 1 have reviewed this application and confirm the information contained herein is true and correct. Wo�k done pursuant to this pe�mit must comply with current federal, state, and /ocal law. The granting of a permit only authorizes app�oved work and no deviations therefrom. Deviations must first be authorized in writing from the Building Official before being authorized under any circumstance. 1 am the owner, o� I am authorized by the owner of this p�operty to perfo�m the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. � �� Agent Signature 2/26/2016 Date City of Everett Official Use Only PERMIT � �!(� 3-� `f�3 (Revised 10/12/2015) � �