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PERMIT APPLICATION <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: 177 W Marine View Drive PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: EVERETT PORT OF TENANT NAME(If Commercial): ANTHONYS WOODFIRE <br /> OWNER MAILING ADDRESS: STREET PO BOX 538 <br /> CITY EVERETT STATE WA ZIP 98206 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME BEST PLUMBING GROUP <br /> CONTRACTOR ADDRESS: STREET 4129 STONE WAY N <br /> CITY SEATTLE STATE WA ZIP 98103 <br /> CONTRACTOR PHONE: 206-240-1401 CONTRACTOR EMAIL: BRANDIN.M@BESTPLUMBING.COM <br /> CONTRACTOR LICENSE#(REQUIRED): BESTPGL973CD CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 30495 <br /> PRIMARY CONTACT: 0 OWNER p CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-240-1401 <br /> BRANDIN MOODY CONTACT EMAIL: BRANDIN.MABESTPLUMBING.COM <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building:RESTAURANT Contract Price of Work: $3000 <br /> Proposed Use of Building: RESTAURANT Heat Source: OGas DElectric DOther <br /> Building Type: USER-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: PCommercial ❑Industrial <br /> Type of Project: ❑New DAddition laRemodel DRepair ❑T.I. ❑Sign DSprinkler ❑Demolition DChange of Use <br /> DESCRIPTION OF WORK: <br /> INSTALL GAS FIXTURES TO OWNER SUPPLIED FIRE PLACE AND (3) TIKI TORCHES <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 /> 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 .3 Other:TiKp rifcb'E5 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 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 I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> 141, PERMIT <br /> ///2f//8 /� ( Il - v <br /> Owner •uthorized Agent Sig ature Date (Revised 9/23/2016) <br />