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PERMIT APPLICATIONaml `f <br />BUILDING I MECHANICAL I PLUMBING I SIGN I SPRIN" <br />EVERETT CITY OF EVERETT PERMIT SERVICES I (l 1�^mlvi LS <br />3200 CEDAR STREET, EVERETT, WA 98201 �1 �—Jl� <br />WASHINGTON (P)425-257-8810 1 FAX 425-25/-B85T 1 fF1 AvwAtfpngaotlP.nlw�,.,,v 1 .w <br />er Mwk lift PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS:3825 COLBY AVE EVERETT WA 98201 PROPERTY TAX #:O Qs <br />LEGAL tor: new construction: Short PWsuhdwis"ATTAGHE12Lot No._ (attach copy of long legai d*4" i t e <br />CO NFORMATION <br />OWNER NAME: WI T I); �=. RL 1 <br />OWNERMAIUNGADDRESS: =m 13300 BOTHELL-EVERETT HWY <br />cm MILL CREEK srAm WA 98012 <br />OWNER PHONE:4255-346-7439 <br />JOWNER EMAIL:pflO0rin9@hOtfflaii.COR1 <br />CONTRACTOR NAME: <br />CONTRACTOR ADDRESS: STREET <br />m r 1; , 9 63 <br />CONTRACTOR PHONE: LS ^ Y6 -j `jt _ - CONTRACTOR EMAILr' FG.Uc>aP_Tn.�OT/1Qs} /1. ; G-Jr' <br />CONTRACTOR LICENSE #(REQUIRED): Cis YCE, Fer f ?5 7 uA <br />CRY OF EVERETT BUSINESS LICENSES REQUIRED): - <br />PRIMARY CONTACT: ❑ OWNER 17 CONTRACTOR f] OTHER (Please Specify) Owner's representative <br />CONTACT NAME: <br />Steve Hall - Revive Properties LLC <br />CONTACTPHONE:360-961-3638 <br />1CONTACT EMNL:reviveproper8es@comcast.net <br />BUILDING INFORMATION <br />E)dstinq Use of Buildi :SFR <br />Contract Price of work: s,35 000 <br />Proposed Use of Build' SFR lHeat. <br />Source: OGas Maectric 00ther <br />UILDINGUSE: OSFR []Townhouse []Duplex ❑ADU ❑MU18-Family-#Units: ❑Commercial ❑Accesso Structure <br />of Pro EINew OAddition gRemodel 21R air ❑T.I. ❑Sin US rinkler ❑Demolition ❑Chan a 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 # "d applicable): _ <br />MECHANICAL PERMIT APPLICATION I <br />PLUMBING PERMIT APPLICATION <br />RooDowdm <br />List of•Axtunu; <br />a <br />UstofRAWW <br />F"nu s <br />Count <br />List ofRsatreS <br />Rx" <br />Count <br />List ofFbrtunur <br />A/C -Air Hard" Unds <br />Gas Piping <br />Bacldlcw Preventer (Inside ) <br />1 <br />Shover, Tub, or Combo <br />Boiler <br />Gas Range <br />Clothes Washer <br />Sink -Commercial (9-comp,prep,floor) <br />Clothes Dryer <br />Heat PumP&Duc:tless <br />Dishmsher <br />2 <br />Sink -Residential en.bath,bar <br />1 <br />Duct System (Remodel) <br />Exhaust Fans (Residential) <br />Refiigeration <br />Commercial ventilatior <br />(Not H—VAC system) <br />Drinking Fountain <br />Floor Drain <br />1 <br />Sink -Utility, laundry, mole <br />Toilet <br />Exhaust Hood (Type 1) <br />Hose Bibb <br />Urinal <br />Exhaust Hood ype ll) <br />Water Heater <br />Interceptor -Grease <br />wastawaterpipingRepair <br />Exhaust Hood Residential <br />wood Stove <br />Ime r-Sand/Oii - <br />Water Service (behind meter) <br />Forted Air Systems <br />Other: <br />Medical Gas <br />Water valves or Fixtures <br />Gas.Fireplace/Insen/Log <br />Roof Drams <br />- <br />Water Heater <br />RINKLER I SUPPRESSION SYSTEMSamge <br />613, <br />Ejector or Sump Pump <br />Other. <br />ression System <br />No.uppression <br />System <br />No. a News <br />ACKNOWLEDGEMENT.' I have reWawad 8as appBcefMn and o"Wre, the jnformaficn owrta(nedh min a Ims e d Correct Work done porsusmto Wspepnftmust oo7Q* with <br />CurremradWal, stale; and local lew. The granbngofa pam*ony authodms appmwd wmk and w deviations fhmefmm. Dowshow must fast be suthonzed m writing from the <br />&Ndhlg OBidal befte bafagaWMudned underany ciremalance. Ism fore awned MI am suffwhmdeythe awnenof tins property to parfcvm the work iW wW appfcabon ismade, <br />ade, <br />and I oonprfy W0 fire State Conbacfms Law 18.27 RCW end 298,2" WAC. <br />city OfEvereC Dl6aaf Use Only <br />C PERMIT # <br />11/13120 <br />WAuthorbiffAlp-ra Sig Dale (Revised 111110,2018) <br />