7601 EVERGREEN WAY DOMINOS PIZZA 2019-04-03

BUILDIN� I MECHANICALS PLUMBING I SIGN I SPRINKLER/ DEMOLITION I��►/—� CITY OF EVERETT PERMIT SERVICES ' 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 I(Blue or Black 1r k0Orily Pliase _. *©JEC 'SitotowRMAii0N �� PROJECT SITE ADDRESS: ./62 0 1 Over-5 r.ee h Wet-) PROPERTY TAX#: G..O O JZ?003001 0(7 LEGAL for new construction: Short Plat/subdivision J Lot No. (attach copy of long legal description) OWNER NAME: ,o/i)ii b j A CQ i 4d1P P14Z4 t L LC TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET p Joy j(j130x. � '7 CJD 8 3 CITY SAN A P T77 N3 (Q STATE TX ZIP OWNER PHONE: OWNER EMAIL: < CONTRACTOR NAME: Am L Leh+ COvt+ / t•' CONTRACTOR ADDRESS: STREET I L.f ( ' (2.,„ S"� l v W cry 12tLf,b' irj\ STATE 'VOA ZIP D D' / CONTRACTOR PHONE: 2' 3- S'7/,-113 3 CONTRACTOR EMAIL: ''.� j - J r » ■ • CONTRACTOR LICENSE#(REQUIRED):0 )E' c IO I P d CITY OF EVERETT BUSINESS LICENSE#(REQUIRED) 1 -4;7071 PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONES j .- 3 J 0 Ct ) cid i7 i h CONTACT EMAIL: < ,y-1 c 'dIesL'L7 i-'it,r)bjeki h*to Existing Use of Building: Contract Price of Work:$ T t,/11 $ SDOO, OD Proposed Use of Building: Heat Source: OGas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached , ❑Duplex ❑Multi-Family-#of Units: /3ommercial ❑Industrial Type of Project: ❑New ❑Addition ❑RemodelARepair ❑T.I. ❑Sign ❑Sprinkler ODemolition ❑Change of Use DESCRIPTION OF WORK: M{t'.ttovvi,;c-cJ2 rcd� c1- /b�fi� >1 ca c�'iret4se ( 44c a ,/� ASSOCIATED BUILDING PERMIT#(if applicable): g t U3 --0 Sh ''MEC;OANICAL'PERMIIr,« 1*.Pdl 04 N ; s' ' I n ; ISAIMAMOING RI1i111.1r. ITO bN',�` �. '� LLLL Lc. _.«N c ..,.... .. �... d,4n,.�s 9r ! :.n....Xpt�'Sryu Y4 4:... ai;. �A� .P{r. � :. `N Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New Addn Alteration _Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures 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) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: .SPRINKLER J SUPPRESSION SYSTEM IChemical or Water I 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.lam the owner,or I am authorized by the owner of this property to perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# it— Z` i$ I g0` . 106a5 Owner/A orized Agent Signature Date (Revised 9/23/2016)