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PERMIT APPLICAT <br /> BUILDING I MECHANICAL/ PLUMBING /SI(,ir f 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: 5821 Evergreen Way PROPERTY TAX#: <br /> - <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Nick Demonkos TENANT NAME(If Commercial): icks Jr. Restaurant <br /> OWNER MAILING ADDRESS: srREEr 10706 57th PI W I <br /> CITY Mukilteo STATE WA ZIP 98275 <br /> OWNER PHONE: 4253619098 OWNER EMAIL: <br /> CONTRACTOR NAME: Chet's Roofing & Construction Inc. <br /> CONTRACTOR ADDRESS: STREET 26301 79th Ave S <br /> CITY Kent STATE WA ZIP 98032 <br /> CONTRACTOR PHONE: 253-887-0194 CONTRACTOR EMAIL: office@chetsroofing.com <br /> (i <br /> CONTRACTOR LICENSE#(REQUIRED): CHETSRC924BB CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): ,X10. ' ' <br /> PRIMARY CONTACT: 0 OWNER pi,CONTRACTOR 0 OTHER(Please Specify) L1V' -, A <br /> CONTACT NAME: CONTACT PHONE: 206-271-4904 0 .IC u <br /> Chet Chmielinski CONTACT EMAIL: danielle.chetsroofingggmail.com <br /> BUILDING PERMIT APPLICATION `- <br /> Existing Use of Building: restuarant Contract Price of Work:$42,000 <br /> Proposed Use of Building:restuarant Heat Source: ©Gas ❑Electric G 'Other air compress <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family#of Units: Ii2Commercial [Industrial <br /> Type of Project: ❑New DAddition 2Remodel ❑Repair DTA. ❑Sign OSprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> tear off 3 layers existing roof and install new TPO <br /> ASSOCIATED BUILDING PERMIT#(if applicable):S� (se� Ate} �' ' C -ri rI <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 /> i A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit HeaterBathtub Urinal <br /> 1 Gas Piping :oiler Lavatory(Wash Basin) Drinking Fountain <br /> 1 Water Heater /�� v- '.eration Shower Floor Drain <br /> Gas Fireplace ' V ood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ductink_i- ' Dishwasher Roof Drains <br /> Clothes Drye, ups Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER i 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.tam the owner,or I am authorized by the owner of this properly 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 /> PERM T# <br /> _ f <br /> Owner/Authorized gent Signature e (Revised 9/23/2016) <br />