1009 COLBY AVE 2016-11-07 - Laserfiche WebLink

ROJECT SITE � PERMIT APPLICATION � BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits PROJECT SITE INFORMATION � d � � �� PROPERTY TAX #: for new construction: Short PlaUsubdivision No. (attach copy of long legal description) I BUILDING PERMIT APPLICATION � Existing Use of Building: Contract Price of Work: $ `-' Proposed Use of Building: Heat Source: �as ❑Electric ❑Other Building Type: ❑SFR-Detached "�SFR-Attached ❑Duplex ❑Multi-Family-# of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: �, �.. � �. iL t ✓� c� '�..� �r a-�- �-t� Lk��^-�..� �- IASSOCIATED BUILDING PERMIT # (if aoolicable): PLUMBING PERMIT APPLICATION Type of Project: New Addn _Alteration Repair Fixiures List of Fixtures Fixtures List of Fixtures Toilet Backflow Preventer (Inside Bldg) Bathtub Urinal Lavatory (Wash Basin) Drinking Fountain Shower Floor Drain Kitchen Sink & Disposal Grease Trap Dishwasher Roof Drains Clothes Washer Medical Gas Water Heater Other: Sink (Service/Bar/Mop/etc.) Other: ACKNOWLEDGEMENT.� 1 have reviewed this application and confirm the information contained herein is true and conect. Work done pursuant to mis permn musr compry wRn 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. 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 with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT # ( �D�l � �f� (Revised i0/12/2015)