505 SE EVERETT MALL WAY I LOVE KICKBOXING 2019-03-21

PERMIT APPLICATIOI4- BUILDING / MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES r 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: SOS SE,EU1&E-r(MALL Wts! OE. 3/tl PROPERTY TAX#: 2E65) S0o304800 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: G.REEN'YRI PLATA (8 C LLC, TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREETIVENTURA 3LW cm( STNOtO Crz/ . STATE CA ZIP 91609 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Loypi— MFtHANICALi Inc, • CONTRACTOR ADDRESS: STREET 2400 N W Sarin Sa- 226 CITY i ATTLe STATE LVA ZIP q$i I7 CONTRACTOR PHONE:tot, Sio 3881 CONTRACTOR EMAIL: Imam✓Ptontgf DJ�vab�ng. )012 CONTRACTOR LICENSE#(REQUIRED):LOyALMT 14I b L CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):6 YQ 3 71 PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: zoa $10•3881 _ _ ,ER&tAIJ L.LAR 5oN CONTACT EMAIL: �t4n Prenew(LAID, BUILDING PERMIT APPLICATION Existing Use of Building: c ,I(Z Contract Price of Work:$ 7_500 .12° Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: pCommercial 0 Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair I10.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: t 5'toUL ?L Gi zo NEN Fix-rtueE L car-mous ASSOCIATED BUILDING PERMIT#(if applicable): 518Oct - pi v MECHANICAL PERMIT APPLICAT - PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn _Alteratio _Repair Type of Project: _New _Addn X Alteration _Repair #of #of List of Fixtures List of Fixtures #°{ List of Fixtures #°f List of Fixtures Fixtures Fixt es Fixtures Fixtures NC—Air Handling Units Heat Pump Toilet _ Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) f Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove I Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dry: Hookups Other: Clothes Washer Medical Gas Range H..d Water Heater Other: Exhaus an I Sink(Service/Bar/Mop/etc.) Other: SP- NKLER/SUPPRESSION SYSTEM Chemical or Water No. of Heads 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 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 Building Official before being authorized under any circumstance.I am the owner,or lam authorized by the owner of this property to perform the work for which application is made, and I comply with the State Contract rs Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only (6,14,c2ent PE 7 Owner/Authorized Agent Signature Date (Revised 9/23/2016)