2932 COLBY AVE 2016-05-18 - Laserfiche WebLink

'OLT • PERMIT APPLICATIO• BUILDING I MECHANICAL/PLUMBING I SIGN / SPRINKLER/DEMOLITION CITY OF EVERETT PERMIT SERVICES )`C -I/ 3200 CEDAR STREET,EVERETT,WA 98201 -516 a`) —Oo (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everellwa.gov I vwvw.everettwa.gov/permits S . :.m -, PROJECT:SITE INFORMATION PRO T S_ zC•�Ap R�0A� PROPERTY TAX#: O r\ 2� \I n cf/(0-2.4 D LEG L forffnew construction:str1Short Plat/subdivision Lot No. ()Li_ copy of long legal description) ` CONTACT INFORMATION OWNER NAME: C-o l3"t Pct 11)ACe 1r.j (L_ . TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2a1P CAD\bil A v cm STATE V V VI ZIP q 6 ib I OWNER PHONE: 25 2.5S-2 tobE OWNER EMAIL: CONTRACTOR NAME: b WI INS I (>V a,O SC'(VI CONTRACTOR ADDRESS: sTieer }F.D jjJ)C 220 CRY Lmtnvwt)oD-j STATE UA ZIP (eC)3 ti., CONTRACTOR PHONE: 4'25---/S 0-b" ,S CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED):CAIS G*- qq 7 Q CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 033 L ZZ PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR gi OTHER(Please Specify) F lei'YAV'* i '1tY1u►1A „levroAtSfti- CONT`ACT NAME: CONTACT PHONE: 42 -140--Stiff Lo `lsr t\/AVt CONTACT EMAIL: 1ylGb ica./Y1 1l2CYtSf O `I(b��{Y).[ 'y -.. BILDING PtitiV l'T APPLICATION 77:1 - - Existing Use of Building: "a LCi.nk- 1O`M M Ct Oa1 Contract Price of Work:$_33.5 D D Proposed Use of Building: 'r t Ct a. 5":"‘re-- Heat Source: E2Gas DElectric LJOther Building Type: ❑SFR-Detached SFR-Attached ❑Duplex ❑Multi-Family-#of Units: A1Commercial Cl Industrial Type of Project r. Sew ❑Addition ❑Remodel ❑Repair ❑T.I. %Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Aunt' s t owl tdk . New VIOn-U'F Wall bicy mik-f. , 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 List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures NC—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 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: _SPRINKLERI SUPPRESSION'SYSTEM:; 'Number of Heads ACKNOWLEDGEMENT.•I have reviewed this application and confine 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.lam the owner,or 1 am authorized by the owner of this property to perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only A)%-i—Ai /11/ n ' 10 PERMIT# (S 1 (.062____ 006 Owner/Authorized Agent Signature Date (Revised 10/12/2015)