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PERMIT APPLICATIC" <br /> OLT BUILDIN IIECHANICAL / PLUMBING / SIGI PRINKLER / DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:2202 Broadway Everett WA 98201 PROPERTY TAX#: 00439147503100 <br /> LEGAL for new construction: Short Plat/subdivision SEE ATTACHED Lot No. (attach copy of long legal description) <br /> � 1 s CONTACT INFORMATION <br /> OWNER NAME: / 4 I Le Permi',S1 V P TENANT NAME(If Commercial): Dutch Bros. <br /> OWNER MAILING ADDRESS: STREET 300 MY Vs Ile j O, }��f / <br /> CITY 6 ,4-/J 7 S PASS STATE oR..._ ZIP 7'5 2 q <br /> OWNER PHONE: (5.4 I) /57.5.-- 4 1.00 OWNER EMAIL: ,ViLe Of Oicit4 is kt broS.4or✓J <br /> CONTRACTOR NAME: Centrex Construction <br /> CONTRACTOR ADDRESS: STREET 8250 SW Hunziker St <br /> Cm,' Tigard STATE OR ZIP 97223 <br /> ' <br /> CONTRACTOR PHONE: 503 684-0443 CONTRACTOR EMAIL: jon@centrexconstruction.net <br /> CONTRACTOR LICENSE#(REQUIRED): CENTRC1131P9 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): in proc, s <br /> PRIMARY CONTACT: [DOWNER ❑ CONTRACTOR ❑ OTHER(Please Specify) C2K Architecture <br /> CONTACT NAME: Joseph Strelka CONTACT PHONE: 503 444-2208 <br /> CONTACT EMAIL: jstrelka@c2karch.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: n/a Contract Price of Work: $ $1_23 x 480= 559.040 <br /> Proposed Use of Building: B (drive-through coffee shop) 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.l. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: 480 SF single story drive-through coffee shop. No interior seating. Type V(non-rated) <br /> construction. Mechanical, plumbing,and electrical will be deferred submittals(design <br /> build). <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 #of #of #of <br /> Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures <br /> NC—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:1 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 I comply with the State Contractors Law 18.27 RCW and 296,200A WAC. <br /> City of Everett Official Use Only <br /> ®/ PERMITT# /� n <br /> .��ce-et c-11-4412_ 1/8/2016 U Qf/D V a <br /> caner/Authorized Agent Signature Date (Revised 10/12/2015) V�,f/,, <br />