1425 COLBY AVE 2022-05-13 - Laserfiche WebLink

PERMIT APPLICATIOF- el' a BUILDIN ECHANICAL/ PLUMBING /SIGN WINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: l-%2 Co\‘0•( Astt; Gvcw-&k wit, 1$201 PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION 'OWNER NAME: .kFcy .( W Coate. TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET /4I25- Col IQ.( Ave QQ CITY ENR,V STATE WA ZIP /QcUI OWNER PHONE: 2,C40" LA Si,- 0141 OWNER EMAIL: Co e4 13 a y4ietOd,Cor t- CONTRACTOR NAME: ?l` }A{o,A.,, , C.L,C, CONTRACTOR ADDRESS: STREET/ ,�J/4jgt Aver b 'Z22.4y ,- CITY �C SANNMA - STATE W ZIP 922.5c) d CONTRACTOR PHONE: Li-CS""S$S'COT CI CONTRACTOR EMAIL: Se-c c.k_likpa..k.,,v,./ . cc44.&. CONTRACTOR LICENSE#(REQUIRED):lat ?,16,,,‘,..L.E2.3 1...Al CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):real 4 PRIMARY CONTACT: ❑OWNER gCONTRACTOR 0 OTHER(Please Specify) Q122'12, CONTACT NAME: CONTACT PHONE: 42s,.S Ol-St{S:5p c\t/cc ,\ CONTACT EMAIL: Jet , @ p,tcLod4-Irlia{m"�9`p . co► - BUILDING INFORMATION Existing Use of Building: Contract Price of Work:$ /St 060 Proposed Use of Building: Heat Source: FGas ❑Electric ❑Other BUILDING USE: EFfsFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK:/G ,. n l; Gtr•d. dvckwcrye'-.. G� .% a ctre 6c�'. ao(d t y o? new 5G.S ? +a,w C �'lrc,�kl.tr ��(�ecce") w'- ex"b4-tU 5Aslf'1 ASSOCIATED BUILDING PERMIT#(if applicable): 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 2. 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) 1 Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop 1 Exhaust Fans(Residential) Commercial Ventilatior 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) 1 Forced Air Systems Other: Medical Gas Water Valves or Fixtures 1 Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER I SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System 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 di PERMIT# pf \IA el(02Owner/Authorized A t (Revised 10/10/2018)