3000 ROCKEFELLER AVE JUST US CAFE 2019-04-30

I I PERMIT APPLICATION.'BUILDINI TMECHANICAL I PLUMBING /SIGN /SPRINKLER/ DEMOLITIONiii.f,,,...4 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 (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: ?jbCo -o cre4_11e .ve,,A /will q VA 1 PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) n�Sq1h GCONTACT INFORMATION OWNER NAME: 'SNinIAAN j )pick—t.1d,take-6e t Add.141ANT NAME(If Commercial):06-g LA 1.1:1 k OWNER MAILING ADDRESS: STREET 2?ON) gee_Va V CITY ---112reAk STATE t/.1A ZIP4$aQ 1 OWNER PHONE: Li2.5 3t$-epSHOO OWNER EMAIL: C-I er;2 ,inUl'unt NS 5/413C6 , O f 1- CONTRACTOR NAME: SIi1`2vk .v14 f1f"ec(`t'S•PS ' Cor ,S C"1 a LL U CONTRACTOR ADDRESS: STREET 1 1 )jpt,,,\"e.r C4.-S tE c) CITY Loi( STATE UJ4,S1/1 ZIP V cUc CONTRACTOR PHONE: 3(cO 3-eAk�,,"{ 3S-$S CONTRACTOR EMAIL: /��, CONTRACTOR LICENSE#(REQUIRED): g I 1 VJ t j t*'D11,��) CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):t � �g PRIMARY CONTACT: 0 OWNER 1.CONTRACTOR 0 OTHER(Please Specify). CONTACT NAME: C-0C ,S IAA\\ CONTACT PHONE:Cvf ,llal\'3(eb-÷`11-35 5 60b1.1 ��'' 'h_ boM3.1 r_ 31100 $�0' 11- S-- &6\911 135 &6\911 'M�A` ^DS$ 7.14 CONTACT EMAIL: {lcbb1 , Me.Ccitt�nl @ c S L'4 r 5 ail (I BUILDING PERMIT APPLICATION Existing Use of Building: Let;t Contract Price of Work:$-�S 000 , o 0 Proposed Use of Building: S'gw,L Heat Source: ❑Gas Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family #of Units: la Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ICIT.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: �� t� cart--I lc\In Wot(I ki h•I►+•S h , etwto�C S loecof 1Zoc 4� P, ow k o,Pe►,� ,,,ct f I ,_m r f,44ty *0 1=.Jck•twt. cktAA :-,\4 \Ii Sl~'eiea )Zoc-11. j Q44,4-- ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION M01, PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn _Alteration _Repair ype 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 A/C-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 4( 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 com.ly with the State Contractors Law 18.27 RCW and 296.200A WAC. / City of Everett Official Use Only ! / 2D rd—r7 ` 1 g PERMITtI 0v� ©J I Owner/Author/ed Agent Signature Date (Revised 9/23/2016)