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PERMIT APPLICATI
<br /> BUILDIM—VIECHANICAL/ PLUMBING /SII; UPRINKLERTDEMOLITION
<br /> CITY OF EVERETT PERMIT SERVICES
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<br /> 3200 CEDAR STREET, EVERETT,WA 98201
<br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits
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<br /> Mwx�,B Ike Ir�ll b rIf., 3 R;©, %SITE titOSi 0):0 ✓/�� . , i' ^W '%,..
<br /> PROJECT SITE ADDRESS: 6932 EVERGREEN WAY PROPERTY TAX#: 28050700201100
<br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description)
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<br /> OWNER NAME: OLSON INVESTMENT& MANAGEMENT LLC TENANT NAME If Commercial): ger1a!r L.
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<br /> OWNER MAILING ADDRESS: STREET 11506 TULARE WAY W,
<br /> CITY MARYSVILLE, STATE WA ZIP 98271
<br /> OWNER PHONE: 425-418-1519 OWNER EMAIL: BRIAN@OIMLLC.NET
<br /> CONTRACTOR NAME: Greg Romo - Romo Construction
<br /> CONTRACTOR ADDRESS: STREET 12112 2nd Drive NE
<br /> CITY Marysville STATE WA ZIP 98271
<br /> CONTRACTOR PHONE: 425-501-5100 CONTRACTOR EMAIL: gregromoconstruction@gmail.com
<br /> CONTRACTOR LICENSE#(REQUIRED): GREGRRC961 QA CITY OF EVERETT BUSINESS LICENSE#(REQUIRED)
<br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR tel OTHER(Please Specify) Designer Sue Genty Interior Design. Inc.
<br /> CONTACT NAME: CONTACT PHONE: 425-827-3438
<br /> SUE GENTY CONTACT EMAIL: SUE@SGIDINC.COM
<br /> Existing Use of Building: Business - offices Contract Price of Work:$ 150,000
<br /> Proposed Use of Building: Business-offices Heat Source: ❑Gas ❑Electric ❑Other
<br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: oCommercial ❑Industrial
<br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair eT.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use
<br /> DESCRIPTION OF WORK:
<br /> NO CHANGE OF USE - NEW RESTAURANT- B -OCCUPANCY . TENANT IMPROVEMENT WORK TO INCLUDE NON
<br /> BEARING INTERIOR PARTITION WALLS, RESTROOM BUILD OUTS, KITCHEN EQUIPMENT, LIGHTING, CASEWORK AND
<br /> FURNITURE. REVISE KITCHEN EQUIPMENT IN EXISTING ALFY'S COMMISSARY KITCHEN
<br /> ASSOCIATED BUILDING PERMIT#(if applicable):
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<br /> Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair
<br /> #of #of #of _
<br /> Fixture o
<br /> ,es ixtur ii st ox s Fixtures IffErSTRFAIMITC:211111
<br /> — it a. in° "' u 170 Toil iy��l al III ill irjraCE .1i- (Inside Bldg)
<br /> Forced Air Systems Unit Heater Bathtub Urinal
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<br /> r e AN Wood Stove r} . L.
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<br /> Clothes Dryer Hookups Other: —Clothes Washer —Medical Gas
<br /> n od —Water Heater —Other:
<br /> an Sink(Service/Bar/Mop/etc.) Other:
<br /> Pet:-;4.;.;:a0fte:AbliliiMP7M1641f0ft:4?"W"
<br /> NA Number of Heads
<br /> ACKNOWLEDGEMENT:1 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, . e,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 - . -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 /> a d cd�. wi, - .tate Con actors Law 18.27 RC W and 296.200A WAC.
<br /> \ -� City of Everett Official Use Only
<br /> - SOL 1 � 1 \W' I - t`6 -I `? P I` -- 025 _
<br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) .._s -
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