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PERMIT APPLICATIO <br /> BUILDIN ECHANICAL / PLUMBING / SIGN PRINKLER/ DEMOLITION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 i(E)everetteps@everettwa.gov i www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:1425 Colby Ave. PROPERTY TAX#:00475329201200 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Jeff& Janell Cook TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET 1425 Colby Avenue <br /> cm,' Everett STATE WA ZIP 98201 <br /> OWNER PHONE: 206-482-0797 OWNER EMAIL:cookjeff13@yahoo.com <br /> CONTRACTOR NAME:self perform <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: El OWNER ❑ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: <br /> CONTACT EMAIL: <br /> BUILDING INFORMATIO r� <br /> Existing Use of Building:primary residence Contract Price o ork:$ 146 Cf\S 0 Q <br /> Proposed Use of Building:primary residence Heat Source: OGas Electric ther �-+ J <br /> BUILDING USE: ❑r SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Com lal Accessory Structure <br /> Type of Project: New ❑✓Addition ❑Remodel El Repair ❑T.I. Sign Sprinkler Demolition Change of Use <br /> DESCRIPTION OF WORK: Adding a garage on grade and additional bed, bath and living space on 2nd floor <br /> ASSOCIATED BUILDING PERMIT#(if applicable): B1702-007 P1808-017 F1808-121 , a7\ 3 -O 1 <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures Count List of Fixtures Count List of Fixtures Count ' t of Fixtures <br /> A/C—Air Handling Units Gas ' mg Backflow Preventer(Inside Bldg) S er,Tub,or Combo <br /> Boiler s Range Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer / Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System (Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry, mop <br /> Exhaust Fans(Residential)° Commercial Ventilation Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type Water Heater Interceptor-Gres - Waste/Water Piping Repair <br /> Exhaust Hood(R idential) Wood Stove Interceptor- d/Oil Water Service(behind meter) <br /> Forced Air Sy ems Other: Medical=as Water Valves or Fixtures <br /> Gas Firepl a/Insert/Log Roo-brains Water Heater <br /> SPRINKLER/ SUPPRESSION SYSTEM ewage Ejector or Sump Pump Other: <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System '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 bef re being authorized •er 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 e State Contractors,18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> ��_ C� (Z— -Z PEW2cecl ,...0.4 <br /> (4___ <br /> Owner/Authorized A t ture Date (Revised 10/10/2018 <br />