2804 GRAND AVE BROOKLYN BROS PIZZERIA 2019-03-22

elfr* PERMIT APPLICATIOt—i ma BUILDI( IIECHANICAL I PLUMBING /SIGN J AwildRINKLER I DEMOLITION CITY OF EVERETT PERMIT SERVICES Naligi3200 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)„ nnPROJECT SITE INFORMATION PROJECT SITE ADDRESS:0250r(.�tW I# iC-. 5i' k_ /02 ekie/Cir PROPERTY TAX#: 001-/P916 7/0,22 0 O LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: .rCllr/ f 4 C,., TENANT NAME(If Commercial):8/4044 91-09. �'7ct'ri� Z%___,OWNER MAILING ADDRESS: J STREET a 5-73 R.,,-,,o-lT�,Gt " ,oj crry /'/t-ndCPS d'` STATE AA/ ZIP 19094/ OWNER PHONE: �� OWNER EMAIL: CONTRACTOR NAME: ZcOOKty6/1 Er 04, g 2 1 iti. FM—, CONTRACTOR ADDRESS: STREET )C/( l7PG//'I 4-j t_ CITY M /4ft STATE 14 ZIP O a 01 CONTRACTOR PHONE: go(0- 979-`1116, 0 CONTRACTOR EMAIL: i)Ce tie tob p i4e4 c/,.C bell CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR ZoTHER(Please Specify) 1C440/14-- CONTACT NAME: CONTACT PHONE: a©6�-97g_ Q96j 0 D'( ” n CONTACT EMAIL: b/'p-tf. 6bp/j' n(),CG e BUILDING PERMIT APPLICATION Existing Use of Building: &fowaC I Contract Price of Work:$ -A"' 0�1SOt 00 Proposed Use of Building: CD/�iw7 57 4 si. Heat Source: ❑Gas Pt lectric ❑Other Building Type: ❑SFR-Detached ❑SFR-PCttached ❑Duplex ❑Multi-Family-#of Units: IAommercial 0 Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: ,_,- �l✓io;;k 4 e 'niSS !/b 644S �inlC5 , /1'1,`)Cf/ 5 a4� '-) eft/', di �CLGL A >a�,I 1C c o ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn _Alteration Repair Type of Project: _New Addn _Alteration _Repair #of List of Fixtures #of List of Fixtures #°f List of Fixtures #°f 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/SUPPRESSION SYSTEM Chemical 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.I am 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# ky- 8 1565- o f t Owner/Authorized Agent Signature Date ` (Revised 9/23/2016) \r4r-1-viatiN c..s.:` .