4005 COLBY AVE 2022-04-04 - Laserfiche WebLink

• PERMIT APPLICATION• BUILDING / MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION EVERETT CITY 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) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 4/005 COL8 - AV E EVERfTT' WA PROPERTY TAX#:00%f 1 i 3 0 1 000 200 LEGAL for new construction: Short Plat/subdivision_ Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: SEA Alit AlitNR min4646:71-/CE4,76i. TENANT BUSINESS NAME(Commercial): $Eft fro-A CoriinUwi70/I/E L7// OWNER MAILING ADDRESS: STREET /04/0 S• /1E/VDaSoA1/CITY Se977-46 STATE WA ZIP %Mg OWNER PHONE: 206. 76 3 . 5 271 OWNER EMAIL: SC-1(11✓nc)coac id @ Se,.(flex-cc 14 c v/s3 CONTRACTOR NAME: NEAT'/-1 A/Oi27WYVC-..S CONTRACTOR ADDRESS: STREET 27//O /O y 71"/ S7. L7- S CITY 14g6f100,0 STATE W II,, ZIP ? V9 "53' CONTRACTOR PHONE: 253 4/95 709/ CONTRACTOR EMAIL: I rr/lun e, Ac//'fihweS�- Coy►/'t CONTRACTOR LICENSE#(REQUIRED): HEATWAi<9F/SZ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): y/4/'7 PRIMARY CONTACT: ❑OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 253 /95 7O9'/ BRIAN B CAS4/ N CONTACT EMAIL: bro544/1 Or44I we4-Cori BUILDING INFORMATION Existing Use of Building: ri COi GAIC_ Contract Price of Work:$._ /00oo.`" Proposed Use of Building: A4C--D/Cth 0- Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ,Commercial EAccessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ZSign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: INSTAU-- (1) ,u/r /LLUM +rVA.7670 b N U"'1 EN7 Si 6-A) ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures coon( List of Fixtures Count List of Fixtures Count List of Fixtures A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial 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/Insert/Log Roof Drains Water Heater SPRINKLER/ SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression 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 PERMIT# 3/01.202/ Szlo3 - © 11 Owned gent Sig Date (Revised 10/10/2018) 7/ I'7.—