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PERMIT APPLICATION <br /> #1111P/A1044 .- <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 I FAX 425-257-8857 i(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 8825 Evergreen Way Everett WA 98208 PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Walter and Barbara Edson TENANT NAME(If Commercial): Los Potrillos <br /> OWNER MAILING ADDRESS: STREET PO Box 82373 <br /> CITY Kenmore STATE WA ZIP 98028 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: New Castle Mechanical <br /> CONTRACTOR ADDRESS: STREET 9823 160th St E Suite A <br /> my Puyallup STATE WA ZIP 983 <br /> CONTRACTOR PHONE: 253-503-7390 CONTRACTOR EMAIL: jim.newcastle©comcast.net 160 <br /> CONTRACTOR LICENSE#(REQUIRED): NEWCACM924OD CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): IlrA <br /> PRIMARY CONTACT: ❑OWNER pr CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:253-503-7390 <br /> Jim Givens CONTACT EMAIL: jim.newcastleacomcast.net <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building:Restaurant Contract Price of Work:$ 2'L"'CI-- <br /> Proposed Use of Building:no change Heat Source: ❑Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Mutts-Family-#of Units: lia'Commercial ❑Industrial <br /> Type of Project: ONew ❑Addition ❑Remodel laRepair ❑T.1. ❑Sign ❑Sprinkler ODemolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Replace existing grease duct for commercial kitchen hood system <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 List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> NC—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 L_ 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 /> 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.lam the owner,or 1 am authorized by the owner of this property to perform the work for which application is made, <br /> and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> �rrT/4/4 <br /> PERMIT# <br /> DC8D 01 <br /> wnerlAu horized Agent Myna re (Revis 9/23/2016) <br /> 9 g 111 <br />