1806 COLBY AVE 2017-04-10 - Laserfiche WebLink

PERMIT APPLICATION BUILDING i MECHANICAL/ PLUMBING / SIGN / .;: : INKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 ( FAX 425-257-8857 i(E)everetteps@everettwa.gov I www.everettwa.gov/permits Blue or Black Ink Only Pleasel PROJECT SITE INFORMATION PROJECT SITE ADDRESS: /&& C01 �'�Q/ PROPERTY TAX#: b Qi/ Q Q o'290C LEGAL for new construction: Short Platlsubdivision d �____.... Lot No. (attach copy of tang legal description) CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commercial)`: OWNER MAILING ADDRESS: STREET 6*730 CITY , / *- STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME; CDtQ/VR �STD/VF )Q00F//V G /MC CONTRACTOR ADDRESS: STREET i76�N /S'"� hV&ywW- 6c--o 01011 cry &7-, LL- STAT_ ZIP 9'JV/'--) CONTRACTOR PHONE: 1CONTRACTOR EMAIL: Z<Ag6aCOk/v /Q�f/NC�.CLYYI CONTRACTOR LICENSE#(REQUIRED): COR V 1 p11.CM ICITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 0335 E PRIMARY CONTACT: ❑OWNER CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: &ARA 00iPA/1614, 'DF,06E mi9/V14&,C-R CONTACT EMAIL: CDiQnlEiE'�ST�✓�(pF//✓!?.Go/Y! BUILDING PERMIT APPLICATION Existing Use of Building: IGFR Contract Price of Work:$ / .ap Proposed Use of Building:5 re Heat Source: ❑Gas ❑Electric ❑Other Building Type: (SFR-Detached IFR-Attached ,❑,rDuplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel Ct�epair QT.1. ❑Sin ❑Sprinkler ❑Demolition ❑Chan a of Use DESCRIPTION OF WORK: ASSOCtATED 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 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 Refrigeration Shower Floor Drain Gas Fire lade 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:I 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 before being authorized under any circumstance.I am the owner,or I 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 It .�^ nJ D� �'Brrt t,e lc,. �2 t7f 7 onoq— Owner Authorized Agent Signature Date (Revised 5120+2016)