4906 COLBY AVE 2023-09-26 - Laserfiche WebLink

PERMIT APPLICATION BUILDINGOECHANICAL/ PLUMBING / SIGN /IT RINKLER/ 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:4906 COLBY AVE PROPERTY TAX#:00561 800000800 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: KENDALL KIMBERLLEE A TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: sTREET4906 COLBY AVE CITY EVERETT STATE WA ZIP 98203 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:ALL NEW AGAIN CONTRACTOR ADDRESS: STREET1500 INDUSTRY STREET, STE 200 CITY EVERETT STATE WA Zip 98203 CONTRACTOR PHONE:(425)238-3333 CONTRACTOR EMAIL: (C) 'J `2(0 U(1 CONTRACTOR LICENSE#(REQUIRED):ALLNENA884JQ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED)OP /011 11 S PRIMARY CONTACT: ❑OWNER ❑ CONTRACTOR El OTHER(Please Specify) EPSILON CONSTRUCTION CONTACT NAME: CONTACT PHONE:206-954-5000 GREG GRATIAS CONTACT EMAIL:GAGRATIAS@GMAIL.COM BUILDING INFORMATION Existing Use of Building: RESIDENTIAL HOME Contract Price of Work: $ ` ' Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE:pSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑✓Repair ❑T.l. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: \2�i'��1Z� 'IZ4`lU+ � l �1 K,r t),, v•JrZLL fcw) Lzc V4L c t rvt \rvsLtl Tmmti tog £xPosgy �N�-Kctcr\! £ �p �t-L.S t�:1 "�AJ�r�`i MTh L'en3Ai-iicnrer.'� f}2£+} ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures NC-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 Ventilation 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 co ply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only Ns l PERMIT j2 ,(IO2 004 j. OwI-ter/Authorized-Agent Signature Date (Revised 10/10/2018) if 2