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PERMIT APPLICA i IGI <br /> BIM PERMIT <br /> BUILDINGGGWECHANICAL / PLUMBING / SIGN W'RINKLER/ DEMOLITION <br /> E V E R E T T CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 1 FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Llus o7 ItCal,c:Cs In,k Ceu6 j L ase) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:41 22.Colby Ave, Everett WA 98203 PROPERTY TAX#:00582101602200 <br /> LEGAL for new construction: Short Plat/subdivision Block 16,South Park Addition to Everett Lot No.22823 (attach copy of long legal description) I <br /> COATACT MIFORMATIOR <br /> OWNER NAME: 4120 Colby, LLC TENANT BUSINESS NAME(Commercial): Colby Townhouse <br /> OWNER MAILING ADDRESS: sTREETP.O.BOX 1094 <br /> ciTy Woodinville STATE WA zip 98072 <br /> OWNER PHONE: 425. " 0007 OWNER EMAIL:ismail.seattle@gmail.com <br /> CONTRACTOR NAM :TBD ` I n n o V GLAjlqk To-v cAl p <br /> CONTRACTOR ADDR SS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): 1 N N 0 V TL d p. 1 Z 0 I CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 6 Z-J 540 <br /> PRIMARY CONTACT: CI OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425.244.0007 <br /> Ismail Mohammad CONTACT EMAIL:ismail.seattle@gmail.com _I <br /> y..0 <br /> BUIiL ANG IIMFORltli�';r�FOR /' � <br /> Existing Use of Building: SFR Contract Price of Work: $3► 0 y_6tJ <br /> Proposed Use of Building:Multifamily Triplex Heat Source: OGas A Electric ❑Other <br /> BUILDING USE: ❑SFR Townhouse Duplex ❑ADU ZMulti-Family-#Units:3 OCommercial ClAccessory Structure <br /> Type of Project: ❑New ZAddition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Construct New 3 storey Wood-Framed Toad+-He crse /Duplexlwith parking on Ground level. <br /> • <br /> Existing house to remain with it's own parking. <br /> ASSOCIAT PERMIT#(if applicable): <br /> MECFLAMICAL, ia-RliViHT APPLICATION —1 PLUMBING PERMIT APPLICATION <br /> Fi are Fixture Fixture Fixture t <br /> Cozen Fixtures Count List of Fixtures Count `^ List of Fixtures Count List of Fixt s S1 <br /> NC—Air Handling Units 2 Gas Piping Backflow nter(Inside Bldg) 9 —Shower,Tub,efi✓ombo _ <br /> Boiler 2 Gas Range 3 Clothes Washer Sink-goniinercial(3-comp,prep,floor) <br /> 3 Clothes Dryer 2 Heat Pump&Ductless 3 Dishwasher Sink-Residential(kitcnen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain I 1 Sink-Utility,laundry,mop <br /> 10 Exhaust Fans(Residential) Commercial Ventilation Floor Drain 10 Toilet <br /> i Exhaust Hood(Type I) (Not Heat/AC system) 3 Hose Bibb Urinal <br /> Exhaust Hood(Type II) 3 Water Heater Interceptor-Grease to/Water Piping Repair <br /> 3 Exhaust Hood(Residential) Wood Stove Interceptor-Sand/ 2 Water ice(behind meter) <br /> Forced Air Systems Other: Medical Ga Water Valve or Fixtures _^ <br /> Gas Fireplace/Insert/Log �� Roof ns 3 Water Heater <br /> SPRINKLER 1 SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression System 46 No.of Heads <br /> Chemical Suppression System 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 izes approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> Building Official before being authoriz under any circ mstance. am t e owner,or!am authorized by the owner of this property to perform the work for which application is made. <br /> and I comply with the State Contract La 18.27 R . OA WAC. <br /> City of Everett Official Use Only <br /> PER <br /> ____ �i\,)-1:) D - .i <br /> Owner/Authorized Agent Sign e )ate (Revised 10/1 0 <br />