3915 COLBY AVE 2020-02-06 - Laserfiche WebLink

MINI PERMIT APPLICATION BUILDING / MECHANICAL/ PLUMBING / SIGN / SPRINKLER/ DEMOLITION E V E R E T TCITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:-_,._ 6it i COI 191 A" V � iv / £ i,t - in/A- `t3(L i PROPERTY TAX#:C'lOL)I i 3 co-70o)o Z()() LEGAL for new construction: Short Plat/subdivisifnX1+4-.144 k Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: tIL'f ( s(kcl,c/1 cti ret"it,v- TENANT BUSINESS NAME(Commercial):l L;r_SG4 1I C1 .2e.f r`/'Qrm OWNER MAILING ADDRESS: STREET 1 7 17 Iylcctvl ;-- Ste, CITY Pi((c. STATE - ZIP �_ OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:PC la c RLGa r m1 e_cita41 C Cr ( CONTRACTOR ADDRESS: STREET 71f 7 Z12!''' Sfi- S l,,l MO � CITY Cc(/l 6 ( 3_ S � STATE A /f U Xn L ZIP " 0 K V CONTRACTOR PHONE:'(2 S CJ h7 S-6 Z 7 CONTRACTOR EMAIL: Melte I/li-f L) , {.1,.,� r-pi��IG.°•,1 eC�1 I c , CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): /..I'1.i� PRIMARY CONTACT: ❑OWNER COCONTRACTOR 0 OTHER(Please Specify) CO. NTiiCT NAME: CONTACT PHONE: L-/ Z, (Li 61 . '2 7 Y)LL £�t I/e-r- e_lYJe.r, CONTACT EMAIL: Veit(h °r 1 t e (t.ic -(oil BUILDING INFORMATION Existing Use of Building: Contract Price of Work:$ I I 61- Proposed 1- Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: ❑SFR Townhouse ❑Duplex ❑ADU EMulti-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ENew EAddition ❑Remodel ERepair ❑T.I. ❑Sign ESprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: ��, IAt(� At-eX'f.s1-I n L1 lc. Ill Co Qr -Free-ztr C.o; 1 ba 60e: L)9' �rt�,sw -i &. Un sP.+s / ASSOCIATED BUILDING PERMIT#(if applicable): Va,h, rad- cjit rinc(1�,nc1 u1.-DV. t) tCl.'�;,, MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION - Fixture Fixture Fixture Fixture Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) ( Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilation Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER/ SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System No.of Heads ACKNOWLEDGEMENT:1 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 bef9re being authorized under any circumstance 1 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 wi(Er'the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only - I / PERMIT# y� 1 0 0 5vy1 i,,/,,,,,,,,-- � / 1 ' t Ii Owner/Authorized-Agent Signature Date (Revised 10/10/2018)