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014577- PERMIT APPLICATIOI*-' <br /> BUILDINGkIIIECHANICAL/ PLUMBING /SIGN I 1111mRINKLER/ 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: 10121 Evergreen Way Su. 15, Everett, WA 98204 PROPERTY TAX#: 28042400200102 <br /> LEGAL for new construction: Short Plat/subdivision MO 2$ T2.8 t4 g,O4 E.Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: South Point Plaza LLC TENANT NAME(If Commercial): Outback <br /> OWNER MAILING ADDRESS: STREET 406 Ellingson Rd, 2nd Floor <br /> cm, Pacific STATE WA ZIP 98047 <br /> OWNER PHONE: 425.990.6200 OWNER EMAIL: info@paadvisors.com <br /> CONTRACTOR NAME: TBD <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR OTHER(Please Specify) Merrick Lentz Architect <br /> CONTACT NAME: CONTACT PHONE: 425-747-3177 <br /> Jason Beagle CONTACT EMAIL: Iasonb@mlarch.com <br /> BUILDING PERMIT,APPLI:CATION <br /> Existing Use of Building: Restaurant Contract Price of Work:$ TBD est.$250,000 <br /> Proposed Use of Building: Restaurant Heat Source: Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: IaCommercial El Industrial <br /> Type of Project: ❑New OAddition GdRemodel ❑Repair ❑T.l. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: lCx7r ae— Ly <br /> Remodel of existing restaurant. >�� Si , <br /> ASSOCIATED BUILDING PERMIT#(if applicable): 9 e ivy( <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 #°f 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 /> — <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.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 <br /> 031 <br /> Owner"ed �� ure Date I�A — <br /> (Revised 9/23/2016) <br />