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EVERETT <br />WASHINGTON <br />• PERMIT APPLICATION • <br />BUILDING / MECHANICAL / PLUMBING / SIGN / 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: 2934 Colby Ave, Everett, WA 98201 <br />PROPERTY TAX #: 00439168202300 <br />LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: Jim Hopkins TENANT BUSINESS NAME (Commercial): <br />OWNER MAILING ADDRESS: STREET 2926 Colby Ave <br />CITY Everett STATE WA ZIP 98201 <br />OWNER PHONE: 425-770-2675 <br />OWNER EMAIL: hopklns1720@msn.com <br />CONTRACTOR NAME: Setzer LLC dba Setzer Plumbing <br />CONTRACTOR ADDRESS: STREET 15617 Westwick Rd <br />CITY Snohomish STATE WA ZIP 98290 <br />CONTRACTOR PHONE: 360-568-9784 <br />CONTRACTOR EMAIL: Office@setzerplumbing.com <br />CONTRACTOR LICENSE #(REQUIRED): SETZEP*825JL <br />ICITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 58486 <br />PRIMARY CONTACT: ❑ OWNER El CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />Travis Setzer <br />CONTACT PHONE: 425-754-1515 <br />CONTACT EMAIL: Office@setzerplumbing.Com <br />BUILDING INFORMATION <br />Existing Use of Building: Restaurant <br />Contract Price of rk: $ 18,000.00 <br />Proposed Use of Building: Restaurant <br />Heat Source: ❑Electri Other <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: <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 />GW iping <br />Backflow Preventer (Inside Bldg) <br />Shower, Tub, or Combo <br />Boiler <br />das Range <br />Clothes Washer <br />4 <br />Sink -Commercial (3-com p, prep, floor) <br />Clothes Dryer <br />Heat Pump&Ductless <br />Dishwasher <br />Sink -Residential (kitchen, bath, bar) <br />Duct System (Remodel) <br />Refrigeration <br />Drinking Fountain <br />3 <br />Sink -Utility, laundry, mop <br />Exhaust Fans (Residential) <br />Commercial Ventilatior <br />(Not Heat/AC system) <br />Floor Drain <br />Toilet <br />Exhaust Hood (Type I)/ <br />Hose Bibb <br />Urinal <br />Exhaust Hood (Typq,1"I) <br />Water Heater <br />1 <br />Interceptor -Grease <br />Waste/Water Piping Repair <br />Exhaust Hood (R6sidential) <br />Wood Stove <br />Interceptor-Sand/Oil <br />Water Service (behind meter) <br />Forced Air Systems <br />Other: <br />Medical Gas <br />Water Valves or Fixtures <br />Gas Firep46ce/Insert/Log17- <br />Roof Drains <br />1 <br />Water Heater <br />SPRI LER / SUPPRESSION <br />SYSTEM <br />Sewage Ejector or Sump Pump <br />Other: <br />Water SuFF98sion System <br />No. of Heads <br />Chemical ppression System <br />No. of Heads <br />ACKNOWLEDGEMENT / 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. l am the owner, or / am authorized by the owner of this property to perform the work for which application is made, <br />and / comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />Agent Signature <br />Date <br />City of Everett Official Use Only <br />PERMIT # <br />C� <br />(Revised 10/10/2018) / <br />