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PERMIT APPLICAT10 <br />BUILDING ECHANICAL / PLUMBING / SIGNNPRINKLER / DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 1 FAX 425-257-8857 1(E) everetteps@everettwa.gov I www.everettwa.gov/permits <br />(Blue or Black Ink Only Please PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: 4815 COLBY AVENUE <br />PROPERTY TAX #: 29053100400700 <br />LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: BEN AND CARLY DANIELS TENANT NAME (If Commercial): <br />OWNER MAILING ADDRESS: STREET 4815 COLBY AVENUE <br />cnv EVERETT STATE WA zip 98203 <br />OWNER PHONE: 425.417.2010 <br />OWNER EMAIL: BEN@BENANDCARLY.COM <br />CONTRACTOR NAME: <br />CONTRACTOR ADDRESS: STREET 2, 20 <br />cnYZav,AA STATE ZIP Z <br />CONTRACTOR PHONE: EMAIL: <br />CONTRACTOR LICENSE #(REQUI ED): �C ITY OF EVERETT BUSINESS LICENSE #(REQUIRED): <br />PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR q OTHER (Please Specify) ARCHITECT <br />CONTACT NAME: <br />GARIN SCHENK (ARCH. STUDIO OF EVERE <br />CONTACT PHONE: 206.931.0990 <br />CONTACT EMAIL: GARIN ARCHSTUDIOEVERETT.COM <br />BUILDING.`PERMIT <br />APPLICATION <br />Existing Use of Building: SFR <br />Contract Price of Work: $ 50000 <br />Proposed Use of Building: SFR <br />lHeat Source: MGas ❑Electric ❑Other <br />Building Type: OSFR-Detached ❑SFR-Attached ❑Du lex ❑Multi -Family-# of Units: ❑Commercial ❑Industrial <br />Type of Project: ❑New ®Addition ❑Remodel ❑Re air ❑T.I. ❑Sin ❑S rinkler ❑Demolition ❑Chan a of Use <br />DESCRIPTION OF WORK: <br />RENOVATION OF UNFINISHED PORTIONS OF BASEMENT TO CONVERT TO HABITABLE SPACE; ADDS 2 BEDROOMS AND 1 BATHROOM. <br />ASSOCIATED BUILDING PERMIT # if applicable): <br />MECNAMICAL PERMAPPLICATION <br />PLUMBINO,PERMIT APPLICATION; <br />Type of Project: _New _ Addn _Alteration _Repair <br />Type of Project: _New _X_Addn _Alteration _Repair <br /># of <br />Fixtures <br />list of Fixtures <br /># of <br />Fixtures <br />List of Fixtures <br /># of <br />Fixtures <br />List of Fixtures <br /># of <br />Fixtures <br />List of Fixtures <br />A/C — Air Handling Units <br />Heat Pump <br />1 <br />Toilet <br />Backflow Preventer Inside Bid <br />Forced Air Systems <br />Unit Heater <br />X1 <br />Bathtub <br />Urinal <br />Gas Piping <br />Boiler <br />Lavatory ash Basin <br />Drinking Fountain <br />1 <br />Water Heater <br />Refrigeration <br />1 <br />Shower <br />Floor Drain <br />2 <br />Gas Fireplace <br />Wood Stove <br />Kitchen Sink & Disposal <br />Grease Trap <br />Gas Range <br />Ducting <br />Dishwasher <br />Roof Drains <br />Clothes Dryer Hookups <br />Other: <br />I Clothes Washer <br />Medical Gas <br />Range Hood <br />Water Heater <br />Other: <br />2 <br />Exhaust Fan <br />Sink (Service/Bar/Mop/etc. <br />Other: <br />SPRINKLER <br />I SUPPRESSION <br />SYSTEM <br />Chemical or water <br />I <br />I 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 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, <br />and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />City of Everett Official Use Only <br />P IIT # <br />Signature Date (Revised 912312016) <br />1(Z <br />