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BI BiI <br />0 <br />EVERETT <br />WASHINGTON <br />PERMIT APPLICATION <br />BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 I FAX 425-257-8857 I (E) everetteps@everethw .gov I www.everettwa-gov)permits <br />(Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br />PROJECT srrE ADDRESS:3825 COLBY AVE EVERETT WA 98201 <br />PROPERTYTAx#:00411300201300 <br />LEGAL for new construction: Short Plat(subdivisionATTACH ED Lot No._ (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: MCK PROPERTIES LLC TENANT BUSINESS NAME (Commercial): <br />OWNER MAILING ADDRESS: smEer13300 BOTHELL-EVERETT HWY <br />cny MILL CREEK STATE WA zw 98012 <br />OWNER PHONE:425-346-7439 <br />OWNER EMAIL:pflooring@hotmail.com <br />CONTRACTOR NAME <br />CONTRACTOR ADDRESS: STREET j cad 4CC� ijGP%�'r <br />crry 1411A-Z <:j� zm a79'63 <br />CONTRACTOR PHONE: 1/ S16-7Y z <br />CONTRACTOR EMAIL:Y/L, C;:�f <br />CONTRACTOR LICENSE #(REQUIRED): F f; NGE. - DA <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED)- &2?7r C> <br />PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR El OTHER (Please Specify) owner's representative <br />CONTACT NAME: <br />Steve Hall - Revive Properties LLC <br />CONTACT PHONE:360-961-3638 <br />ICONTACT EMAIL: reviveproperties@comCast.net <br />BUILDING INFORMATION <br />Existing Use of Building:SFR <br />I Contract Price of Work: S35 000 <br />Proposed Use of Buildin :SFR <br />Heat Source: ❑Gas OElectric ❑Other <br />BUILDING USE: EIsFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family-# Units: ❑Commercial ❑Accessory Structure <br />Type of Project ❑New ❑Addition ❑✓ Remodel ❑✓ Repair ❑T.1. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br />DESCRIPTION OF WORK: COMPLETE WORK INITIATED BY PRIOR OWNER <br />Comple"bathroom to 2nd floor, add plumbing for future use as a possible kitchen to second floor and cover walls <br />Finish electrical work initiated by prior owner. Cover walls opened for electrical. Finish drywall on second floor. <br />ASSOCIATED BUILDING PERMIT # if applicable): _ <br />MECHANICAL PERMIT APP ICATjQN <br />PLUMBING PERMIT APPLICATION <br />Fz re <br />count <br />List Of Fixtures <br />R1d118 <br />Courrt <br />st of Fixtures <br />Frxtiue <br />Count <br />List of Fixtures <br />Fixture <br />Count <br />of Fixtures <br />A/C —Air Handling Units <br />Gas Piping <br />Backfiow Preventer(inside Bldg) <br />1 <br />ShoweriTub, or Combo <br />Boiler <br />Gas Range <br />Clothes Washer <br />S' -Commercial (3-comp,prep,floor) <br />Clothes Dryer <br />Heat Pump&Ductless <br />Dishwasher <br />2 <br />Sink -Residential (kRchen,bath,bar) <br />Duct System (Remodel) <br />Refrigeration <br />Drinking Fountain <br />Sink -Utility, laundry, mop <br />1 <br />Exhaust Fans (Residenti <br />Commercial Ventilatio <br />(Not Heat/AC system) <br />Floor Drain <br />1 <br />Toilet <br />ExhaustHood (Type I) <br />Hose Bibb <br />urinal <br />Exhaust Hood (Type <br />Water Heater <br />Interceptor -Grease <br />WastelWater Piping Repair <br />]Exhaust Hood (R dential) <br />Ex <br />Wood Stove <br />InterceptorSandlOil <br />Water Service (behind meter) <br />Forced Air Syst s <br />I <br />joiner. <br />Medical Gas z <br />Water Valves or Factures <br />Gas Firepla nsert/Log <br />I <br />Roof Drains 11 <br />Water Heater <br />SPRIINKLn I SUPPRESSION SYSTEM <br />Sewage E" or or Sump Pump <br />Omer. <br />Water Suppression m <br />No. of Heads <br />Chemical Suppression System <br />No. of Heads <br />ACKNOWLEDGEMENT_ 1 have reviewed this application and confirm the information contained herein is bue and correct Work done pursuant to this permit must comply with <br />current federal, state, and local law The granting of pemtit only authorizes approved work and no deviations therefrom. Deviations must first be authorized in writing hom the <br />Building Official before being authorized under any circumstance. I am the owner, or I am authorzed by the owner of this properly to perform the work for which application is made, <br />and 1 comply with the State Contractors Caw 18.27 RCW and 296.200A WAC. <br />City of Everett Official Use Only <br />PERM17✓7 q <br />11/13/20 '1 I✓V//' � s Z. <br />567M/Authorized _ern Sig m Date (Revised 10/102018) <br />