Laserfiche WebLink
�ERMIT APPLICATInN <br /> BUILDING/MECHAN(CALIPLUMBING/SIGN/SPRINKLER/DEMOLI"fION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 vnrnv.everethva.org <br /> SITE ADDRESS: 4817 Evergreen VJay PROPERTV TA7(N 2�_�440919 P�Rtnl7� _ ODS <br /> Everelt, WA 98203-2830 <br /> LEGAL!or new conslruction: Shotl PlaVsubCivision Lot No._ (attach copy ol long le9al desuiplion) <br /> OWNER Claremont Village Slation, LLC phone/E-mail 513-824-7090 EXT 1626 <br /> nddress 11501 Northlake Drive cayis�a�e2p Cincinnati, OH 45249 <br /> APPLICANT:_Owner _OwnersAgent _Conlractar _ContraclorsAgent X TCOBfII(rtu.'slpmv�C¢a'^.PcrcicanSmlhcmNecnnc�IpdOwoK�nNespacu) <br /> CONTRACTOR T.B.D. � ;��n State Lic. .Y I ' ity[ius. Lic. # <br /> Addmss �µ� ,(J Phon� m d • ���Z� ✓d��� <br /> TENANT BUSINESS NAME �ersey A�1ike's Subs CONTACT FOR PERMI7 Frank Kzrreman <br /> Phonz�E-maa (206)842-1253/frank@karreman.com <br /> BUIt.DING PERMIT APPLICATION CONTRACT PRICE OF WORK 5�50,000 <br /> Existin9 Use of Buitdin9 Restauranl HEAT SOURCE: <br /> Proposed Use of Building Reslauranl G,s Eiecvic X Omer <br /> Building type: _Single Family _puplex_Townhouse _Multi-Family X Commercial <br /> T e of pro-ed: New Addition Remodel Repair x T.I. Siqn Spnnkler Demolition Chance of Use <br /> DESCRIPTIOY OF WORK(adart�ona�snace pm��ded on rne bacx): <br /> Restauranl tenanl improvement to exisling commercial space including changes to partilion wall, plumbing/ <br /> elec�rical/mechanical equipment, and in(erior finishes. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo ol Projecl: _New_Addn X Al(eralion_Repiir Typo ol ProJeet: _New_Addn X Alteralion,_Rep�ir <br /> Show Numbcr�#)ol fixtures Show Numbcr(p)o/fiafures <br /> A/C—airhandlin units Toilet <br /> Forced air s slems � E3athlub <br /> ' Gas � in • Lavatorv wash basin <br /> Waler heater Shower <br /> � Gas fireplace Kitchen sink 8 disposal <br /> Gas ranae � Di;hwasher <br /> Clolhesd er Clotheswasher <br /> Ran e hood � Water heater <br /> I Exhausl fan Z Sink(servicePoadmo /etc.) <br /> � lieal um Backllow revenler <br /> Unit heater � Urinal <br /> Boiler � Drinkinq Founlain <br /> � Refri eration A� G.n oo Floor drain <br /> I Woodstove Grease tra <br /> Ductin Roo(drains <br /> Other � Medicai Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Other: <br /> Number o(Heads Other <br /> 1 nereby cenLy t�at I havo read and exammetl Ihis apP�����on and know Ihe same lo be tnie and corted.All provisions ol laws and o:dnances govemmg t�is type ol woik wil Ce camp! <br /> w�hxhet�e�speoGedhei�ortrBLT�egranlin olaperm1doesnolpresumelogiveaN�ontytoviolaleorrancelthepmvrsmnolanyo:�erslaleorlocallawregulalingconstruaion <br /> Thal I n• �e ow r ol h propert lo pertortn Ihe wak for w�ich pl;raEon/isJ'�ade ond I rnmpy v.ith the Slatc Contrayors Law 1B 27 RCIY anC 276 200\VJAC. <br /> C//�__=���� ���'.. /'G ' / <br /> Own�tlyt orlxe Agen �netum ;,le (ReviSedo/lOfaf <br />