515 SE EVERETT MALL WAY CHIPOTLE 2017-05-03

PERMIT APPLICATIOAI BUILDINI IECHANICAL / PLUMBING / SIGN"' 3RINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES I OL 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 515 SE EVERETT MALL WAY -' PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commercial): CHIPOTLE MEXICAN GRILL OWNER MAILING ADDRESS: STREET 1401 WYNKOOP STREETI SUITE 500 CITY DENVER STATE CO ZIP 80202 OWNER PHONE: 303.606.5838 1OWNER EMAIL: rcarlSorl@Chlpotle.Com CONTRACTOR NAME: TBD ) e1 V CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR IROTHER(Please Specify) ARCHITECT CONTACT CONTACT NAME: BENJAMIN FIEDLER CONTACT PHONE: 402.895.0878 CONTACT EMAIL: bfiedler@fhaarchitects.com BUILDING PERMIT APPLICATION Existing Use of Building: RESTAURANT Contract Price of Work:$ 350,000 Proposed Use of Building: RESTAURANT Heat Source: PgGas )Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: &Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair MT.I. ❑Sign ❑Sprinkler DiDemolition ❑Change of Use DESCRIPTION OF WORK: FAST CASUAL MEXICAN RESTAURANT TENANT IMPROVEMENT ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: New Addn _Alteration _Repair Type of Project: New _Addn _Alteration _Repair Fixtures List of Fixtures Fixtures List of .tures #of List of Fixtures #°f ;List of Fixtures Fixtures Fixtures 4. A/C—Air Handling Units at Pump 2 Toilet 7 Iadflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub ,-,"Urinal 9 Gas Piping Boiler 4 Lavatory(Wash Basin) Drinking Fountain 1 Water Heater 1 Refrigeration Shower ;A5 Floor Drain Gas Fireplace `! Wood Stove 5 Kitchen Sink&Disposal 1 Grease Trap 1 Gas Range 1 Ducting Dishwasher �! ii;' Roof Drains Clothes Dryer Hookups Other: Clothes Washe Medical Gas 1 Range Ho6d Water Heat Other: FLOOR SINK 2 Exh�aast Fan Sink (S ice/Bar/Mop/etc.) Other: i SPRINKLER / SUPPRESSION SYSTEM NA I Number of Heads 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 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 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, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# / . Authorized Agent Signature Date (Revised 10/12/2015)