2712 COLBY AVE 2020-08-27 - Laserfiche WebLink

IIIMM PERMIT APPLICATION 12 BUILDING IECHANICAL I PLUMBING / SIGN i JrRINKLER/ 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 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:L 7 6.2 COl br . - PROPERTY TAX#: 00 5 9l o5JO • LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: 1 t-KCi l e TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 40 j, (-29 L. Se-, CITY ,u/�T. W STATE L('I ZIP � 1,.,,i"� 06 OWNER PHONE: 7 - T Y — SLX I .f OWNER EMAIL: CONTRACTOR NAME: -) K2-.1(114 6.1 -A/6 /j-'_-- CONTRACTOR ADDRESS: STREET e( 0e , ?'12 (.21--)19-:(.21--)19-:_ ;- •1/ 6/3 ate` CITY � /) STATE , ZIP / � CONTRACTOR PHONE: - X56,_7 cCONTRACTOR EMAIL: S/ ��C12/14 Co) vi'icO. �,1 v / �.-036)(-1, CONTRACTOR LICENSE#(REQUIRED): S °2R$B� CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): J PRIMARY CONTACT: 0 OWNER LF1 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: V5-- 7-50 7 CU 5-116L WIC) (kV.'c7 CONTACT EMAIL: S- SG U�KJ iiC(�G'RS/tJ _ �� BUILDING INFORMATION ��, C.:1C.:1-,d- .1 ; Existing Use of Building: Contract Price of Work:$ Li Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: rgCommercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair JUT.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: ` �� 9L,'�- D i /� '^)45r caiGt -j l-c- 11 ---div-1 i .( ASSOCIATED BUILDING PERMIT#(if applicable): 13110R-052—, 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 Ventilatior Floor Drain 4 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: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 per . • y-. orizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the Building Official before being authorized under any circ stance.I a the owner,or I am authorized by the owner of this property to perform the work for which application is made, an. : ply with the State Co ractors Law 18.27 - W and 296. OOA WAC. i City of Everett Official Use Only c � i_,11 /� ! i�� PERI Owner•uthorized •g-n Signature Date (Revised 4/15/2019)