Permit Information
Permit Information
| Is this application for a New or Existing Permit (Renewal)? | Existing | 
Existing Permit
| Facility Name | (Area B) EXTREME TERIYAKI | 
| Facility Contact Phone Number | 678-7702726 | 
| Facility Contact Email Address | [email protected] | 
| Facility Contact Name | Xiumin zheng | 
| Existing Facility Permit Number | 3320 | 
| Facility Mailing Address | 3965 CASCADE ROAD, SW, SUITE 340, Atlanta GA 30331 | 
| Facility Address | 3695 CASCADE ROAD, SUITE 340 ATLANTA GA 30331 | 
| SwiftComply Establishment Profile URL | https://fulton-county-ga.swiftcomply.com/city/establishments/2861 | 
| Has anything changed since last year? (Enter N/A or no if no changes to owner, systems, etc.) | n/a | 
Owner / Corporate Information
| Owner / Corporation Name | jifengjincao | 
| Owner Contact Name | Xiumin zheng | 
| Owner Contact Telephone | --- | 
| Owner Address | --- | 
Certification
Certification
| Full Name | Xiumin zheng | 
| Certification | Yes | 
Verification & Permit Fee Calculation
Fee Calculation
| How many subsurface system (exterior) tanks does the facility have? | 1-5 ($250) | 
| How many Manual (interior) 10-100 pound units does the facility have? | 0 | 
| How many Automatic Grease Recovery 20-35 GPM units does the facility have? | 0 | 
| Is the payment for the current year permit considered late? (RENEWALS ONLY: If today's date is prior to May 31, 2024, the answer should be no. If today's date is after May 31, 2023 the answer should be yes) | Yes (25% late fee will apply) | 
| Please enter how many years permit has been unpaid in the past (please enter 0 for none) (RENEWALS ONLY): | 5 | 
| Notes |  |