2714 COLBY AVE ROMIOS PIZZA 2019-06-24

IIIIII PERMIT APPLICATIO /11P14 —' BUILDINIU I MECHANICAL/ PLUMBING /SIGN��RINKLER I DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov( www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 2-7iy Ce/9y M----.c PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision �/ Lot No. (attach copy of long legal description) CONTACT INFORMATION yy ROWNER NAME: 4057 L/.f/ 2o57�,D;Afo� TENANT NAME(If Commercial): O [4,Ge'zi S ei,z24. OWNER MAILING ADDRESS: STREET 17/i33 '/2 2/01 (5Z- cm? j 1/.C../.117 ,, {� Q cm? LTVR 7 STATE (/✓ ZIP /_JU 2# OWNER PHONE: 4'25(- 7 3 7 i 0077-5- OWNER EMAIL: 0;,...e./f�,e✓f7.Si.L7 �/7,.%c . COX—, CONTRACTOR NAME: (ll� f u(/V / CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: N6OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: BUILDING PERMIT APPLICATION Existing Use of Building: /<€ 4 .f Contract Price of Work:$ 1/9, 000 Proposed Use of Building: ..e e5/ #9iit,e/9/C" / Heat Source: ,$Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: jiirCommercial El Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DLRIPT)ON OF WORK: i/e/ a era-//, 2 �cz,., vis, 6.0,4% 'e s /,,, ie.--;7- 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 #°f List of Fixtures #'of List of Fixtures #°fof Fixtures Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units Heat Pump Z Toilet 4 flow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) i ';:' Drinking Fountain Water Heater Refrigeration Shower 1 Floor Drain Gas Fireplace Wood Stove Kitchen Sin p)...- 4 Grease Trap Gas Range Ducting 4 Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Wa er 'Medical Gas Range Hood 4 Water -:ter Other: Exhaust Fan Si - 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.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 R and 296.200A WAC. / City of Everett Official Use Only PERMIT# mos 74F 1�Y/72 6 4��a` ras3Owner/Authorized Agent Signature / (Revised 9/23/2016)