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EVERETT <br />WASHINGTON <br />PERMIT APPLICAT " <br />BUILD / MECHANICAL / PLUMBING / SI / SPRINKLER / 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: 6815 Colby Ave <br />PROPERTY TAX #: 00545400000103 <br />LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: Kevin & Stacey Cole TENANT BUSINESS NAME (Commercial): <br />OWNER MAILING ADDRESS: STREET 6815 Colby Ave <br />CITY Everett STATE WA zIP 98208 <br />OWNER PHONE: 425-330-4587 <br />OWNER EMAIL: staceycole8l @gmail.com <br />CONTRACTOR NAME: Bennett Construction <br />CONTRACTOR ADDRESS: STREET 16507 68th Ave West <br />CITY Lynnwood STATE WA ZIP 98037 <br />CONTRACTOR PHONE: OR EMAIL: <br />CONTRACTOR LICENSE EQUIRED): UBI NO. 602211619 <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED <br />PRIMARY CONTACT: D O R ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />n/a <br />CONTACT PHONE: n/a <br />CONTACT EMAIL: n/a <br />BUILDING INFORMATIO <br />Existing Use of Building: single-family home <br />Contract Price o ork: $ 80,000 <br />Proposed Use of Building: single-family home <br />Heat Source: ❑Gas DElectric ❑O er <br />BUILDING USE: DSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family - # Uni s: ❑Commerc' ❑Accessory Structure <br />Type of Project: ❑New ❑✓ Addition ❑Remodel ❑Repair ❑T.I. ❑Sign Sprinkler 0 D�prn&it6cn ❑Change of Use <br />DESCRIPTION OF WORK: 630 SF addition to existing residence andA <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 tures <br />A/C — Air Handling Units <br />Gas Piping <br />Backflow Preventer (Inside Bldg) <br />Shower, T ;"or Combo <br />Boiler <br />Gas Range <br />Clothes Washer <br />Sink mmercial (3-comp,prep,floor) <br />Clothes Dryer <br />Heat mp&Ductless <br />Dishwasher <br />Ink -Residential (kitchen, bath, bar) <br />Duct System (Remodel) <br />rigeration <br />Drinking Fountain <br />Sink -Utility, laundry, mop <br />Exhaust Fans (Residential) <br />/ <br />Commercial entilatior <br />(Not Heat/AC system) <br />Floor Drain <br />Toilet <br />Exhaust Hood (Type 1) <br />Hose Bibb <br />Urinal <br />Exhaust Hood (Type 11) <br />lWater Heater <br />Interceptor -Grease <br />Waste/Water Piping Repair <br />Exhaust Hood (Reside al) <br />Wood Stove <br />Interceptor -Sandi iI <br />Water Service (behind meter) <br />� Forced Air System <br />Other: <br />Medical Gas <br />Water Valves or Fixtures <br />Gas Fireplace/I ert/Log <br />Roof DraiP6 <br />Water Heater <br />SPRINKL / SUPPRESSION <br />SYSTEM <br />Sewage Ejector or Sump Pump <br />Other: <br />Water Suppression 56stem <br />No. of Heads <br />Chemical Suppression System <br />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 do4ly with the StateAontra6tdrs Law 18.27 RCW and 296.200A WAC. <br />Signature <br />4/23/2020 <br />Date <br />City of Everett Official Use Only <br />PERMIT N'6axls EE�(Revised 1011012018) l <br />�Z <br />