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PERMIT APPLICATION <br /> BUILDING , CHANICAL / PLUMBING / SIGN / INKLER / DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 4-177 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: 5317 Evergreen Way PROPERTY TAX#: 2682571 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: EVERGREEN MARKET TENANT NAME(If Commercial): Adhes Taqueria (TOMAS) <br /> OWNER MAILING ADDRESS: STREET 5317 Evergreen Way <br /> CITY Everett STATE WA ZIP 98203 <br /> OWNER PHONE: 425-367-2650 OWNER EMAIL: <br /> CONTRACTOR NAME: TEKAS Fire & Hood Installations, LLC <br /> CONTRACTOR ADDRESS: STREET 14611 AMBAUM BLVD SW <br /> Ciro BURIEN STATE WA ZIP 98166 <br /> CONTRACTOR PHONE: 206-617-4951 CONTRACTOR EMAIL: mortegafire@aol.com tekasfire@gmail.com <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: ❑ OWNER EYCONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME: MIGUEL O CONTACT PHONE: 206-617-4951 <br /> CONTACT EMAIL: mortegafire@aol.com tekasfire@gmail.c:om <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Contract Price of Work: $ 9,000.00 <br /> Proposed Use of Building: I Heat Source: ❑Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: Mommercial ❑Industrial <br /> Type of Project: ❑New ❑Addition []Remodel OfRepair ❑T.I. ❑Sign []Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Replace exisiting kitchen hood for a new Type I kitchen hood, exhaust fan and make up air unit <br /> per drawings. <br /> inspection with building department any electrical or alarm on separate permits if required. <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 List of Fixtures <br /> 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 a er ater--T__ _ Other: <br /> 1 Exhaust Fan Sink(Service/Bar/Mop/ Other: <br /> w <br /> SPRINKLER/ SUPPRESSION SYSTEM <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 I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# V <br /> D. 09/15/2016 IN <br /> Owner/Authorized Agent Signature Date (Revised 5/20/2016) <br />