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4122 COLBY AVE A B 2022-07-20
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4122 COLBY AVE A B 2022-07-20
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Last modified
7/20/2022 11:01:50 AM
Creation date
7/20/2022 11:01:17 AM
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Address Document
Street Name
COLBY AVE
Street Number
4122
Unit
A B
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PERMIT APPLICATIO <br /> ® BUILDING , MECHANICAL/ PLUMBING / SIGN f SPRINKLER I DEMOLITION <br /> EVERETT 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@overettwa.gov I www.everettwa.gov/permits <br /> (Blue or Ttl kr:l;clrtk Only Please) PROJECT SITE INFORMATION ._-.- <br /> PROJECT SITE ADDRESS:4122COlby Ave, Everett WA 98203 PROPERTY TAX#:00582101602200 <br /> LEGAL for new construction: Short Plat/subdivision eiock is,South Park Addition to Everett Lot No."" (attach copy of long legal description) <br /> I CONTACT INFORMATION -, <br /> OWNER NAME: 4120 Colby, LLC TENANT BUSINESS NAME(Commercial): Colby Townhouse <br /> OWNER MAILING ADDRESS: sTREETP.O.BOX 1094 <br /> cll.), Woodinville STATE WA ,It, 98072 <br /> OWNER PHONE: 425.244.0007 OWNER EMAIL:ISmatl.Seattle@gmall.COm <br /> CONTRACTOR NAME:TBD 10 n a 'V ck,- 4 e fivt,vh `--- - <br /> CONTRACTOR ADDRESS: STREET <br /> • <br /> • <br /> CITY STATE. !r' <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): I N O COI H.— a /2- 0 I CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 6 27 ✓ <br /> PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR ❑OTHER(Please Specify)_ _______..............__„_.-._. -._.._.. <br /> CONTACT NAME: CONTACT PHONE:425.244.0007 <br /> Ismail Mohammad CONTACT EMAIL:ismail.seattle@gmail.com T ^ <br /> i Uie.hlWD INFORMATION <br /> Existing USC of Building: SFR Contract Price of Work: $30;, 00 S'a ^_2,,,.- �� <br /> Proposed Use of t �ilding:Multifamily Triplex <br /> -�^ _� Heat Source: C�7Gas Electric ©Other <br /> EUILDINC USE: USER [JTownhouse ❑Duplex ❑ADU [ IMulti-Family-#Units:_3 . _ ❑Commercial I_j/>,ccessori Strucitce <br /> Type of Project: New E Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprint r ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Construct New 3 storey Wood-Framed Town House !Duplex • ith parking on Ground level. <br /> Existing house to remain with it's own parking. <br /> (ASSOCIATED i3UILDING PERMIT#(if applicable): <br /> { ME 11 A A L PERMIT APPLIC, TIOi,I PLUMBING PEiuvii"h" i,i3P ;IC'A11or <br /> Fixture Fix turo fixture Fixture t r ire <br /> List of Fixtures List of Fixtures List of Fixtures List of Fixtures <br /> Count Count Count 1�Count <br /> A/C--Air Handling Units 2 Gas Piping Backflow Preventer(Inside Bldg) I 9 Shower, Tub or Cameo <br /> Boiler Gas Range 3 _4Clothes Wa er Sink-Commercial(3-ccmn,7tep.ii:,cr) <br /> 3 Clothes fryer Heat Pump&Ductless 3 {Dishwasher Sink-Residential (ki;ci,en.batli,bar) <br /> Duct Syste , (Remodel) Refrigeration Drinking Fountain 11 Sink-Utility,laundry,mop _ <br /> T10 Exhaust Fans 2esidential Commercial Ventilatiork_ Floor Drain 10 Toilet — T A <br /> L:xhaust Hood(1,•e I) (Not Heat/AC system) 3 Hose Bibb Urinal <br /> Exhaust Hood(Typos 3 Water Heater Interceptor-Grea Waste/Water Piping Pc)pwr <br /> 3 Exhaust Hood(Rose en Wood Stove Interceptor-Se /Oil 2 titer Service(behind mote.) <br /> Forced Air Systei Other: y Medical Ga,, � __ Water Valves or hixtures <br /> yLLrW Gar I-ireplace/I'sert/Log .., Roof Drai s ��3�^;Water Floater _ -T._ <br /> SPRINKLE' i SUPPRESSION SYSTEM — Sewa Ejector or Sump Pump Other: <br /> Water Suppression System 46 No.of Heads _ - <br /> Chemical Suppression System No.of Heads .r.. <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,stare,and local law. The granting of a permit only-., izos approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> Building Official before being autnoriz under any circ instance. am tie owner,or I am authorized by the owner of this property to perform the work for whicr application is'rr::u, <br /> and I comply with the State Contract La 18.27 R" '- i . OA WAC. <br /> City of Everett Official Use Only <br /> ;2zOCF:6-2S1 <br /> 1"\AXA X ja:. <br /> PLRP . c,.Ou7rter/Authorized Agent Sign ...,_ )ale (Revised 10i10/2018) <br />
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