505 COLBY AVE 2019-10-31 - Laserfiche WebLink

S II II IIIIIIPERMIT APPLICATION 1I IIII IIIIII IIBUILDINdfl ECHANICAL/ PLUMBING /SIGN /YYPUINKLER 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 I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 6-645- Colby Ave_ eVervi uji . gg2O1 PROPERTY TAX#: Ebb y'27q6 ✓)'1 POO 'ZOO LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal descriptio j)3 S CONTACT INFORMATION OWNER NAME: to k L.Q0l4,4. Ca 1 1 A• iM1•te TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET Icor 1<�.j 6? A-440- cm( G-✓ke,-,e rr` STATE (Aaf ZIP ggZif) OWNER PHONE: 720 2-74, S-769 OWNER EMAIL: GSh)ey• IvO(CI•t el 601orodo•ecteA. CONTRACTOR NAME: itta)r fr i f'ht r CONTRACTOR ADDRESS: STREET ' /� '52.( j/a{ W� CITY �Ve'e-tT STATE )G�jq� ZIP CONTRACTOR PHONE: 1126-- raj/- 58/2. CONTRACTOR EMAIL: /VEC K0(. 4"ti.Owl,�YIC CONTRACTOR LICENSE#(REQUIRED): !/vM e I g 3g , CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 511/0 PRIMARY CONTACT: %OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME:ICONTACT PHONE: •7zo 27 f0 S--74,9 /l A Li L. tz U€h CONTACT EMAIL: ask lei• too t4 e C colov*4o. eat, BUILDING PERMIT APPLICATION `�7 Existing Use of Building: ^ Contract Price of Work:$ ' •00 5 Proposed Use of Building:Bu� 5f Heat Source: as Electric ❑Other Building Type: OrSFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ;SlRemodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: r-.eyt0.f GL"-_ lci n r'Oo, a 4 ck t'\o ,c 6,01-in .. * \c- 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 #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units Heat Pump )< Toilet Backflow Preventer(Inside Bldg) 1 Forced Air Systems Unit Heater Bathtub Urinal 4 Gas Piping Boiler I Lavatory(Wash Basin) Drinking Fountain 1 Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap I 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 Pkt/Rit I— IT# Cer/Authorized Agent Signature Date (Revised 9/23/2016)