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PERMIT APPLICATIm' <br /> BUILDII-1 MECHANICAL/ PLUMBING / SIGII J PRINKLER/ DEMOLITION <br /> 40a011011t.-- <br /> CITY'OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> �� ■■ (P)425-257-8810 I FAX 425-257-8857p 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> PROJECT SITE ADDRESS: 6932 Evergreen Way, Everett,WA 98203 PROPERTY TAX#: 28050700201100 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> SL a�� >'y a�J3' �• x v �y„�,y �CT 4 <br /> (d�aa <br /> fR3>S:,'r. •` '.?... ,1.. '... .., n/i.d3.. N .. ,- - \ V ➢ / N d '.s <br /> r F� , e«h Es. _.-„..vu.,6� x� a, ,ii.4a �n «.:1��).,(n• .. .n.«.�i. ,.., r..x.... ..Y..�ir. .,... ..>.. <br /> OWNER NAME: Olson Investment& Management LLC TE •NT NAME(If Commercial): 1%14_4— J a_.x <br /> OWNER MAILING ADDRESS: STREET 11506 Tulare Way W. <br /> CITY Marysville STATE WA ZIP 98271 <br /> OWNER PHONE: (425) 418-1519 •WNERI •,I : brian@oimilC.net <br /> CONTRACTOR NAME: Greg Romo- Romo Constructio <br /> CONTRACTOR ADDRESS: STREET 12112 2nd D e <br /> CITY Marysville / STATE WA ZIP 98271 <br /> CONTRACTOR PHONE: 425-501-5100 / CONTRACTOR EMAIL: gregromoconstruction@gmail.com <br /> CONTRACTOR LICENSE#(REQUIRED): GRE ;''RC961 QA CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: ❑OWNER 0 C!/ TRACTOR MOTHER(Please Specify) Owner's Agent <br /> CONTACT NAME: Sue Genty / CONTACT PHONE: (425) 827-3438 <br /> Sue Genty Inter Design CONTACT EMAIL: sue@sgidinc.com <br /> Existing Use of Building: Contract Price of Work: $ I t D t 0 <br /> Proposed Use of Building: Heat Source: ❑Gas 0 Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: MCommercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair MT.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Tenant improvement- Change of use: Combine adjacent spaces (B occupancies) into A-2 Restaurant <br /> occupancy. Tenant improvement work to include non bearing interior partition walls, restroom build <br /> outs, kitchen equipment, lighting, casework and furniture. <br /> Deferred submittals: signage, plumbing, electrical, mechanical, fire & kitchen hood. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> girT*KOMNTOgItafteir goo ., . r � �` ” # tAWMtt <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 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 /> 11• 17,7!'"V-allEVIZEMC '4'410.46 <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!comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# 1/L <br /> 8-22-16 r3!(oa O' O <br /> Owner/Authorized Agent Signature Date (Revised 5/20/2016) '" '> <br />