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,.....- <br /> 011011P11* PERMIT APPLICATION <br /> BUILDING/MECHANICAL/ PLUMBING /SIGN/SPRINKLER 1 DEMOLITION <br /> ,z7- <br /> /4iilli *'71 32CITY OF EVERETT PERMIT SERVICES <br /> 00 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-287-8857 }(E)everetteps@everetivra.gov I wwweverettwa.gov/permits <br /> (Wue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:, Colby Colby Ave . PROPERTY TAX If: <br /> LEGAL far new construction: Short mat/subdivision Lot No.. (attach copy of long legal description) <br /> S'Z3-t------ CONTACT INFORMATION <br /> OWNER NAME: Jim & Rosy Addington TENANT NAME(If Commercial): C_() ,• (r• -k.- • VC A-Er'Qs. <br /> OWNER MAILING ADDRESS: STREET 1032 West Marirle View Drive, #A124 <br /> Cay Everett STATE WA ZP 98201 <br /> OWNER PHONE: 206-310-0685 OWNER EMAIL: i imrosyadclington@graail..com <br /> coNTRAcToRNAme Charter Construction <br /> CONTRACTOR ADDRESS: STREET 980 S. Harney St . <br /> ary Seattle • stns WA ztp 9 8 10 8 <br /> CONTRACTOR PHONE: 206-382-1900 CONTRACTOR EMAIL: brian.dennis@chartercon.com <br /> , <br /> CONTRACTOR LICENSE#(REOUIRED): CHARTC1171PM CITY OF EVERETT BUSINESS LICENsENREQUIRE0): 3 9 9 0 9 <br /> PRIMARY CONTACT: DOWNER 12 CONTRACTOR kI4 OTHER(Please Specify) Architect <br /> '• <br /> CONTACT NAME: Mitchell Cohan CONTACT PHONE: 206-473-0827 <br /> CONTACT EIVIAIL: mitchellc@ceetvrcrrra <br /> BUILDING.PERMIT APPLICATIO <br /> Existing Use of Building: Residential Apartments 'Contract Price of oft:$ <br /> Proposed Use of.Building:. Same I Heat Source: °Gas ttectic 6 e i er <br /> Building Type: OSFR-Detached EISFR-Attached EIDuplex tx Multi-Family4 of Uhits: 14 0Cornmercial E3Industrial <br /> Type of Project ONew DAddition ORemodel EiRepair DTI. i:3Sign IDSprinkler ODemoiltion Othange of Use <br /> MESCRIPTIONOFWORK: Fire damage to existing multi-unit apartment complex to be <br /> repaired/upgraded to existing code . Removal of all finished <br /> down to the studs . Remove/replace, existing roof structure . <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING.PERMIT APPLICATION <br /> Type of Project New Addn Alteration _Repair Type of Project; New Adtin Alteration Repair <br /> #a #of a of *of <br /> List of Fixtures , List of Mttures .xtures List of Fixtures List of Fixtures <br /> Rxtures Fixtures FiFIxturea <br /> - v - <br /> NC—Air Handling Units Heat Pump 'Idilet , Backflow Preventer(Inside Bldg) <br /> 'Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping 'Boiler Lavatory(Wash Basin) Drinking Fobntain <br /> Water Heater Refrigeration ;Shower Floor Drain <br /> ... ... <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> .:: <br /> Range Hood Water Heater • Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/SUPPRESSION SYSTEM - <br /> Chemical or Water 1• No.of Heads <br /> ACKNOWLEDGEMENT:I have reviewed this application and confirm the Information contained herein is true and correct.Work done pursuant to tins 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 before being authorizer/under any circumstance.lam the owner,or lam authorized by the owner of this property to perfomr the work for which application is made, <br /> and I comply with the State.Contractors Law 18.27 RCW and 296.20QA WAC <br /> -/ City of Everett Official Use Only <br /> . p <br /> P? <br /> if7• — (0 k <br /> Owner/Authorized Agent Signature Date • <br /> (Revis 9123/20 <br />