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0 <br />• <br />PERMIT APPLICATION <br />BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />OL 3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 1 FAX 425-257-8857 1 tFl PverPttPnsrnlPvarettknm r1rn1 I .A <br />Blue or Black Ink Onty Please PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: 3207 Colby Avenue, #103 <br />PROPERTY TAx #: 00696100110300 <br />LEGAL for new construction: Short Plattsubdivision Lot No. (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: Ross and Judy Rettenmier TENANT BUSINESS NAME (commercial): <br />OWNER MAILING ADDRESS: STREET 3207 Colby Avenue, #103 <br />crry Everett STATE WA zip 98201 <br />OWNER PHONE: 425.343.8182 <br />OWNER EMA : r ier@comcast.net <br />CONTRACTOR NAME: Ross a enmier <br />CONTRACTOR ADD S: STREET 3207 Colby Avenue, #103 <br />c,n. Everett STATE WA ZIP 98201 <br />CONTRACTOR PHONE:425.343.8182 <br />CONTRACTOR EMAIL: rettenmier@comcast.net <br />CONTRACTOR LICENSE #(REQUIRED): <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): <br />PRIMARY CONTACT: 121 OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />Ross Rettenmier <br />CONTACT PHONE:425.343.8182 <br />CONTACT EMAIL: rettenmier@comcast.net <br />BUILDING INFORMATION <br />Existing Use of Building:16 Condos Owner and renter with 4 Biz Units - <br />FContract Price of Work: $100,000 <br />Proposed Use of Building: Same <br />Heat Source: I]Gas ElElectric OOther <br />BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑✓ Multi -Family - # Units: ©Commercial ❑Accessory Structure <br />Type of Project: ❑New ❑Addition ©Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition []Change of Use <br />DESCRIPTION OF WORK: Lin vu <br />The project is a remodelAgl some structural modification. T <br />c as bro h . The gas service has already <br />been brought in to front of building with a meter installed. -7-� �� /+n Ofie- unif <br />ASSOCIATED BUILDING PERMIT # if applicable): <br />MECHANICAL <br />PERMIT <br />APPLICATION <br />PLUMBING PERMIT <br />APPLICATION <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />A/C —Air Handling Units <br />Gas Piping <br />Backflow Preventer (Inside Bldg) <br />Sh r, Tub, or Combo <br />Boiler <br />Clothes Dryer <br />Duct System (Remodel) <br />Exhaust Fans (Residential <br />as Range <br />Heat Pump&Ductless <br />Refrigeration <br />Commercial Ventilat—ior <br />(Not Heat/AC system) <br />Clothes Washer <br />Dishwasher <br />Drinking Fountain <br />Floor Drain <br />ink -Commercial (3-comp,prep,floor) <br />Sink -Residential (kitchen, bath, bar) <br />Sink -Utility, laundry, mop <br />Toilet <br />Exhaust Hood (Type I <br />Hose Bibb <br />Urinal <br />Exhaust Hood (Ty II) <br />Exhaust Hood esidential) <br />Forced Air stems <br />lWater Heater <br />Wood Stove <br />Other: <br />Interceptor -Grease <br />eptor-San it <br />al G <br />Waste/Water Piping Repair <br />Water Service (behind meter) <br />Water Valves or Fixtures <br />Gas Fireplace/InserVLog <br />ms <br />Water Heater <br />SPRINKLER/ SUPPRESSION <br />SYSTEMe <br />2Roof <br />Ejector or Sump Pump <br />Other: <br />Water Suppression System <br />No. of Heads <br />Chemical Suppression System <br />No. of Heads <br />•�..__��_ . _ 1. i nave reviewed rnis applicadon 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 />r Building . I before being authorized under any circumstance. l 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 omply ith the tractors Law 18.27 RCW and 296.200A WAC. <br />City of Everett Official Use Only <br />PE <br />wn,&KAuthrued A fit Signature Date (Revised 10/10/2018) <br />