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gn. PERMIT APPLICATION <br /> BUILDING / MECHANICAL/ PLUMBING /SIGN /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 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or.Black Ink-QnIy Ptease) LL . „PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 1722 West Marine View IDrive PROPERTY TAX#: 018364 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> ribta,. A =r..e € 1,, .. ..,, ..a -CONTACT",INFQRMATION` <br /> OWNER NAME: Anthony's Woodfire Grill TENANT NAME(If Commercial): Anthony's Woodfire Grill <br /> OWNER MAILING ADDRESS: STREET PO BOX 3805 Bellevue WA 98009 <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: FIELDS ROOF SERVICE INC <br /> CONTRACTOR ADDRESS: STREET 25924 78TH AVENUE SOUTH <br /> CITY KENT - STATE WA ZIP 98032 <br /> CONTRACTOR PHONE: 253.852.4974 CONTRACTOR EMAIL: INFO@FIELDSROOF$ERVICE.COM <br /> CONTRACTOR LICENSE#(REQUIRED): FIELDRS262L1 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): I log 2,2, <br /> PRIMARY CONTACT: 0 OWNER pi,CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 253.852.4974 <br /> SEAN PEPPER CONTACT EMAIL: SEANP@FIELDSROOFSERVICE.COM <br /> e ,x ` r ,,, .. .., - OUII DING PERMIT APPLICATION ...,... <br /> Existing Use of Building:RESTUARANT Contract Price of Work:$49,987.00 <br /> • <br /> Proposed Use of Building: NO CHANGE Heat Source: ❑Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached °SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. OSi9n ❑Sprinkler ❑Demolition OChange of Use <br /> DESCRIPTION OF WORK: <br /> Remove existing layer(s)of deteriorated 3-tab shingle roofing AND Supply and install CertainTeed Shingle Roofing System <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICA , PRMITAPPLIC,ATIO,,,N 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 #°f List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> NC—Air Handling Units' 'Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping 'Boiler . Lavatory(Wash Basin) ,Drinking Fountain <br /> Water Heater 'Refrigeration 'Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal 'Grease Trap <br /> Gas Range Ducting 'Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> 'Range Hood Water Heater . Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> _SPRINKLER l 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.I am the owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RC W and 296.200A WAC. <br /> City of Everett Official Use Only <br /> _� 0J i , .r,� PERMIT ( 1 1 1 0 1 1 <br /> 1 <br /> Owner/�1uth rent gnatu e 1 ('Da( V Revised 9/23/2016 <br /> C72_ <br />