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� PERMIT APPLICATIO� <br /> BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 � FAX 425-257-8857 �(E)everetteps@everettwa.gov� wvw�.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 1402 SE Everett Mail Way,Suite#199 PROPERTY TAX#: 28051800401800 <br /> LEGAL for new construction: Short Plat/subdivision See Plans Lot No. (attach copy of long legal description) _. <br /> CONTACT INFORMATION <br /> OWNER NAME: Manjit Kaur TENANT NAME(If Commerci I): Skinny D's Yogurt ,,,- <br /> OWNER MAILING ADDRESS: srReeT 6930 132nd St.SE ry <br /> ciTv Snohomish sTATE Wq ziP 98296 <br /> OWNER PHONE: (425)225-5252 OWNER EMAIL: ajmerbhagat@live.com <br /> CONTRACTOR NAM TBD � (� ��f�j� <br /> CONTRACTOR ADDRESS: sTReer <br /> CITY STATE ZIP <br /> _ - � <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: -_ � <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE (I�EQUIRED. � <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR �OTHER(Please Specify) Architectural Designer "— <br /> CONTACT NAME: 2812 Architecture-Jesse Wolfe CONTACT PHONE: (425)478-9978 <br /> CONTACT EMAIL: jesse@2812architecture.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Mercantile Contract Price of Wo :$ 25,000 r` <br /> Proposed Use of Building:Mercantile Heat Source: �Gas lectric ❑Other <br /> Building T pe: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units �Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair �T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Demolition of 1 wall.Construction of walls as required to create new 1,073 sf frozen yogurt shop. <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 Lisf of Fixtures #of Lisi of Fixfures <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 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: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/ocal 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 Officia/before being authorized under any circumstance. I am the owner,or 1 am authorized 6y 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 /> PER <br /> � �� 1� ��� � � �� , <br /> Ow uthorized Agent Signature Date (Revised 5/20/2016) } <br /> � v <br />