2712 COLBY AVE 2020-08-27 - Laserfiche WebLink

PERMIT APPLICATION IZ 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 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) 2 (2_ PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 1'/i 2.a r',/� PROPERTY TAX#: `7O • I• i„G`t D - 'OD LEGAL for new construction: Short Plat/subdivision "WV 4 '` Lot No.17//9^/at'ch copy of long legal description) CONTACT INFORMATION / OWNER NAME: —I e-r-� kA.....-cd TENANT BUSINESS NAME(Commercial): a..c a[/ 'f o 1,e- Ir` OWNER MAILING ADDRESS: STREET '1-'1i� �/G 24.0 C r STATE t- 5 e-- Ta ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: —I! 1 !' CONTRACTOR ADDRESS: STREET CITY' STATE ZIP CONTRACTOR PHONE: CONTRACTO EMAIL: , CONTRACTOR LICENSE#(REQUIRED): CI F EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR E{OTHER(Please S • fy) CONTACT NAME: GQ L ---- CONTACT PH NE: /�-2J--: 37? A \\\, - (i'1/ie CONTACT E AIL: ;A.,`,,(:li /j 'c2 cA {c '1�I(1 C„, BUILDING INFO NATION Existing Use of Building: Contract ice of Work:$ i i ,r-----"7-:-‘- Proposed Use of Building: '- �-1-:/ Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial LiAccessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair .I ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: ►4e1A) St\2-1E3®rtiS * GE.A.L,1 NCG- 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 NC—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Comb• - Boiler Gas Range r. Clothes Washer Sink-Commer 3-comp,prep,floor) Clothes Dryer Heat Pump ctless Dishwasher Sink - •ential(kitchen,bath,bar) Duct System(Remodel) Refrig -on Drinking Fountain k-Utility,laundry,mop Exhaust Fans(Residential) C mercial 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) Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Inse og Roof Drains Water Heater SPRINKLER UPPRESSION SYSTEM Sewage - ector or Sump Pump Other: Water Suppression Sy, -m No.of Heads i Chemical Suppress.n 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 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 , / ��.� PER # 90K --oo2 Owner/•ut .rized Agent Signature Date (Revised 10/10/2018)