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PERMIT APPLICATION <br /> BUILDINd+111ECHANICAL / PLUMBING /SIGN I Ji:RINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 4Z7T 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 /> PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: PROPERTY TAX#: 28051800304300 <br /> SUITE 20 305 SE EVERETT MALL WAY, EVERET <br /> LEGAL for new construction: Short Plat/subdivision Lot No- (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: LAN NGOC NGUYEN TENANT NAME(If Commercial): VJ NAILS & SPA <br /> OWNER MAILING ADDRESS: STREET //�07 r— �1 'E? 2K' 5 ( �J <br /> CITY Ci V C_-Y`L`T( ( STATE z,-)-4- ZIP +' Z6 ,5 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: HONG T. PHAN CONSTRUCTION <br /> CONTRACTOR ADDRESS: STREET 9804 10 AVE NE <br /> CITY TACOMA STATE WA ZIP 98445 <br /> CONTRACTOR PHONE: 206-227-2275 CONTRACTOR EMAIL: hongtphan@qmail.com <br /> CONTRACTOR LICENSE#(REQUIRED): �u L � `1 1� J CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR C3 OTHER(Please Specify) THOMAS THOMPSON ARCHITECT <br /> CONTACT NAME: CONTACT PHONE: 206-409-0755 <br /> CONTACT EMAIL: TTSQUARED@GMAIL.COM <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: RETAIL / OFFICE Contract Price of Work:$ <br /> Proposed Use of Buildin NAIL SALON GROUP B Heat Source: <br /> p g: ClGas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached []Duplex ❑Multi-Family-#of Units: 13Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition 13Remodel ❑Repair ❑T.I. ❑Sign []Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: EXISTING TENANT SPACE TO BE OUTFITTED FOR A NAIL SALON <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 List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures 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 1 Refrigeration iShower Floor Drain <br /> Gas Fireplace lWood 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 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 18.2-7 RCWN d 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> Owner utho ' ed Agent Signature Date (Revised 10/12/2015) <br /> `1� <br />