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x <br /> lIi' II II PERMIT APPLICATION.' <br /> BUILDINU TMECHANICAL I PLUMBING /SIGN I �RINKLER I DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> (Blue or Black Ink Orally Please) PROJECT SITE,INFORMATION <br /> PROJECT SITE ADDRESS: 2106 Everett Avenue Everett WA 98201 PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION . <br /> OWNER NAME: Jack in the Box Inc. TENANT NAME(If Commercial): Jack in the Box <br /> OWNER MAILING ADDRESS: STREET 6055 E WASHINGTON BLVD STE 690 <br /> CITY Commerce STATE CA ZIP 90040 <br /> OWNER PHONE: EMAIL: <br /> u <br /> CONTRACTOR N E: TBD, will bid in september/october Kit'_aApe'1 sfr; lwl <br /> CONTRACTOR A STREET d <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQ RED -'j(� ' 1 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR DA OTHER(Please Specify) Architect cv <br /> , ,off/ <br /> CONTACT NAME: <br /> CONTACT PHONE: 208.395.1080 <br /> q-, Ok-k-)d 0/4\--‘1 CONTACT EMAIL: johnd@suarchitecture.com <br /> BUILDING PERMIT APPLICATION: <br /> ��� ��°L�jp�p00 oa <br /> Existing Use of Building: Restaurant with drive thru •Contract Price of Work:$ <br /> Proposed Use of Building: No Change Heat Source: IRGas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ODuplex ❑Multi-Family-#of Units: l,$(Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition RjRemodel ❑Repair IMT.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Remodel interior finishes and new lighting in public spaces, re-roof, new parapet <br /> new exterior paint, new parking lot lighting, and re-strip parking lot <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 #of #of List of Fixtures List of Fixtures <br /> Fixtures <br /> List of Fixtures Fixtures List of Fixtures Fixt es Fixtures <br /> NC—Air Handling Units Heat Pump Toilet Backflo eventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub U• <br /> Gas Piping Boiler Lavatory(Wash Basin) rinking Fountain <br /> Water Heater Ref•--ration . Shower Floor Drain <br /> Gas Fireplace ood 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 Heat Other: <br /> Exhaust Fan Sink(S ice/Bar/Mop/etc.) Other: <br /> SPRINKL 1 SUPPRESSION SYSTEM: <br /> Chemical or Water I No.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!comply with the State 'o actors Law 18.27 RCW and 296.200A WAC: <br /> City of Everett Official Use Only <br /> 40 <br /> Owner!Auth' . Agent Signature Date (Revised 9/23/2016) <br />