3231 COLBY AVE 2019-01-07 - Laserfiche WebLink

PERMIT APPLICATIO BUILDINCOIECHANICAL / PLUMBING / SIGN 'RINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 OL (P)425-257-8810 FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS: PROPERTY TAX#: 00 a y , l LEGAL for new construction: Short Plat/subdivis7 Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: ENANT NAME (If Commercial): OWNER MAILING ADDRESS: STREET CITY T W rr- ' .. STATE ZIP OWNER PHONE: `' '7 Gf OWNER EMAIL: vcd-� �� (� G� �ic —_ Cc, CONTRACTOR NAME — r - b6,ci d b : CONTRACTOR ADDRESS: STREET — c CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 111,7—'j -, j j I L��c CONTACT EMAIL: t :> (,� cc�� 1'Y1 -5 r1 L 6 BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work: $ c 'C5 Proposed Use of Building: cL I Heat Source: ❑Gas [--]Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached El Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel El Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: "] i , ,]G 1 t C,`7 Ci LLQ 55 K.G :n o/' t ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn _Alteration _Repair Type of Project: New _Addn _Alteration _Repair #of #of #of #of Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures List of Fixtures Fixtures A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory (Wash Basin) Drinking Fountain Water Heater 1 Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink& Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/ SUPPRESSION SYSTEM Number of Heads ACKNOWLEDGEMENT:1 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 beforgbefi'g'autho ed under any circumstance.1 am the owner,or 1 am authorized by the owner of this property to perform the work for which application is made, and I comply witb-th S to Contracto s L .27 RCW and 296.200A WAC. City of Everett Official Use Only / PER IT# Owney]Authprized Agent Sigbature Date (Revised 10/12/2015)