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PERMIT APPLICATION <br /> /1j:4BUILDING/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 /> (B ue ar Black Ink.Only.Please) PROJECT_SITE INFORMATION <br /> PROJECT SITE ADDRESS: 10121 Evergreen Way, Suite 15 Everett,WA 98204 PROPERTY TAX#: 0271338 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT.INFORMATION <br /> OWNER NAME: Evergreen Restaurant Group TENANT NAME(If Commercial): Outback Steakhouse <br /> OWNER MAILING ADDRESS: STREET 1180 NW Maple St, Ste 105 <br /> Cllr Issaquah STATE WA zip 98027 <br /> OWNER PHONE: 425-557-7711 OWNER EMAIL:jeffjones@outbackwest.com <br /> CONTRACTOR NAME: Messenger <br /> CONTRACTOR ADDRESS: STREET 37 S Hudson St <br /> CITY Seattle STATE WA ZIP 98134 <br /> CONTRACTOR PHONE: 206-342-1900 CONTRACTOR EMAIL: greggriffen@messengercorp.com <br /> CONTRACTOR LICENSE#(REQUIRED): MESSES*274MP CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):056567 <br /> PRIMARY CONTACT: ❑OWNER 9CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-342-1943 <br /> Greg Griffen CONTACT EMAIL: greggrifffen(c.,messengercorp.com <br /> BUIlLDING.'PERMIT APP�.IGATION , <br /> Existing Use of Building:Restaurant Contract Price of Work:$ 40 �O�)�, `'l n <br /> Proposed Use of Building: Restaurant Heat Source: <br /> EI <br /> ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ['Duplex ❑Multi-Family-#of Units: IiitCommercial ['Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. PSign ['Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Install 2 illuminated channel letter signs and 1 illuminated take out sign <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT,APPLICATION t: PLUMBING-.PERMIT-,APPLICATION; <br /> Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair <br /> #of #of #of #of <br /> List of Fixtures List of Fixtures List of Fixtures 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 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 I am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Onl <br /> PER <br /> Marc Muller 10/30/18 \ k ° w T <br /> Owner/Authorized Agent Signature Date (Revised 9/ 2 16) <br /> y2 <br />