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r `.i ,! <br /> i@ • PERMIT APPLICATI011i <br /> '�.::.sn BUILDING / MECHANICAL / PLUMBING / SIGN / SPF'RINKLER i OEMOLITlON <br /> `tom.. ; 1 9T w' CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits ��A .,y-„ <br /> ., `��„ u Y„ ,u-�„ <br /> Plum c'Black Ie�LI Only Please) PROJECT SITE INFORMATION �._.....r <br /> PROJECT SITE ADDRESS:4.1212.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.22&23 (attach copy of long legal description) —� <br /> CONTACT INFORMATION <br /> OWNER NAME: 4120 Colby, LLC TENANT BUSINESS NAME (Commercial): Colby Townhouse <br /> OWNER MAILING ADDRESS: STREETP•O.Box 1094 <br /> cry Woodinville STATE WA ZIP 9$072 <br /> OWNER PHONE:42 4.0007 OWNER EMAIL:ismall.Seattle@gmall.COrt"1 <br /> CONTRACTOR NAM :TBD r 10 n 6 4c , vC I cr1n-vtn <br /> CONTRACTOR AD ESS: STREET <br /> CITY STATE. ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): I 'v fq D t/ ,- Si Q Z Of CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 6 2 /5b <br /> PRIMARY CONTACT: E l OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425.244.000 <br /> Ismail Mohammad CONTACT EMAIL:ismail.se gmail.com J <br /> I <br /> MALL3ING INFORMATION _W ___: <br /> Existing Use of Building: SFR Contract Price of ork: $30 \ _ CU— <br /> j0 �� I <br /> Proposed Use of Building:Multifamily Triplex Heat Source: Gas I:Electric rOther <br /> BUILDING USE: DSFR ❑Townhouse ❑Duplex ❑ADU OMulti-Family-#Units:3 ❑Comm- ial ❑Accessory Structure <br /> Type of Project: ❑New ❑✓Addition ❑Remodel Repair ❑T.I. Sign ❑Spri ■'- olition ❑Change of Use <br /> DESCRIPTION OF WORK: Construct New 3 storey Wood-Framed Llplexl(vith parking on Ground level. . <br /> Existing house to remain with it's own parking. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): _ _____ - '_ <br /> ppe�r-/ pp��q rt r}}- _r._o <br /> MLL.'E�YIu�3aMIC,.L PERMIT APPLICATIOG\1—I PLUMBING P,ERMI1f ssaWl"I_IC:v.'I'IOti1 �m <br /> FI urn List of Fixtures Fixture List of Fixtu s Fixture Lisf of FixturesT Fixture List of Fixtures <br /> Cou Count Count Count <br /> I ' �r <br /> __ ,tLC-Air Handling Units 2 Gas Pipe Backflow Preventer(Inside Bldg) 2 D Shower,Tub or Combo <br /> Beiange Z. Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> 3 Clothes er eat Pump&Ductless 3 Dishwasher , Sink-Residential(kitchen,bath,bar) <br /> Duct System •model) Refrigeration Drinking Fountain Sink-Utility,laundry,mop _ <br /> 10 Exhaust Fans(Res• ntial_ Commercial Ventilatio Floor Drain V Toilet <br /> Exhaust Hood(Type (Not Heat/AC system) 2 Hose Bibb Urinal <br /> Exhaust Hood •- _3 Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> 3 Exhaust H•••i Wood Stove Interceptor-Sand/Oil 2 Water Service(behind meter) <br /> For Air Systems ^Other: I Medical Gas ^Water Valves or Fixtures i <br /> "as Fireplace/Insert/Log 11.111. Roof Drains , Water Heater <br /> SPRINKLER / SUPPREESSION SYSTlE 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 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 Contract La 18.27 R . OA WAC. <br /> City of Everett Official Use Only <br /> PE w5 <br /> il\d-r3 'w F` - <br /> OwnerlAuthorized Agent Sign e )ate (Revised 10/1 0 <br />