710 SE EVERETT MALL WAY GROCERY OUTLET 2017-04-28

PERMIT APPLICATION BUILDING / MECHANICAL/ PLUMBING / SIGN / SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 OL (P)425-257-8810 l FAX 425-257-8857 l(E)everetteps@everettwa.gov l www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 710 SE Everett Mall Way PROPERTY TAX#: 0180505 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Everett Grocery Outlet TENANT NAME(If Commercial): Grocery Outlet OWNER MAILING ADDRESS: STREET 710 SE Everett Mall Way aTy Everett WA STATE WA zip 98208 OWNER PHONE: 425-535-6224 OWNER EMAIL: CONTRACTOR NAME: SlmpleXGrlrinell CONTRACTOR ADDRESS: STREET 9520 10th Ave S. Suite 100 ciTy Seattle STATE WA zip 98108 CONTRACTOR PHONE: 206-291-1400 CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): SIMPLL*988BG CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):050211 PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-291-1468 Janet Stebbins/SimplexGrinnell Permits CONTACT EMAIL:jastebbins@simplexgrinnell.com BUILDING PERMIT APPLICATION Existing Use of Building: Grocery Contract Price of Work:$ 9486.00 Proposed Use of Building: I Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.l. ❑Sign OSprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Add (3) Dry Pendent Sprinkler to existing coolers . 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 #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) 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: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/ SUPPRESSION SYSTEM Number of Heads ACKNOWLEDGEMENT./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./am the owner,or 1 am authorized by the owner of this property to perform the work for which application is made, and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# POwn"r/Authorized A ent Sigrhature V Dater (Revised 9/23/2016)