6928 COLBY AVE 2017-04-10 - Laserfiche WebLink

PERMIT APPLICATION BUILDING / MECHANICAL/ PLUMBING / SIGN / SPKiNKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov i www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: (PUB 1 ue f e{1 ►C12� PROPERTY TAX#:7-bQ50700105200 LEGAL for new construc'.lon: ShortPlat/subdivisionLot No. (attach copy o`long loyal description) CONTACT INFORMATION OWNER NAME: TENANT NAME(It Commercial): OWNER MAILING ADDRESS: ftE.ET C10110N eNemp, u CITY STATF f V A Zif (V OWNER PHONE: y25 (15'0 q I q EMAIL: -f Ie b1ir Gl) + Will CONTRACTOR NAME, CDjeN R �Sro/UF k?t0F/nl(A INC. CONTRACTOR ADDRESS: STRF f i 17W � I U �/t"irr lwQ tS,E A o)ll CITY a)7—,q LL STATE CONTRACTOR PHONE: CONTRACTOR EMAIL: CDRN.�iPcS7U/V��Zt�f//V6.CGv» CONTRACTOR LICENSE#(REQUIRED): CQiQ/v /{ "©�I C/YJ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): D.33SG PRIMARY CONTACT: ❑ OWNER CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: SARA 000,116 P, oGrI65 CONTACT EMAIL:-W,4 CoRlvcR6'Tzws—;eODF/NG.Gom C' R{� BUILDING PERMIT APPLICATION Existing Use of Building SjII 1Q I�QIn I s' Contract Price of Work: $ Proposed Use of Building: SIn e wil 4enic Heat Source: ❑Gas ❑Electric ❑Other Building Type, SFR-Detached CISFR-Attached ❑Duplex MulthFarnily-#of Units: ❑Commercial ❑Industrial I Type of Project: ❑New ❑Addition ❑Remodel R► e a .I. ❑Stgn ❑Sprinkler ❑Demolition ❑Chan e of Use DESCRIPTION OF WORK: Rrrnove VXi!5,hclayer 01F COMP and C�VIQct Wi-I+h t i7 p- 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 AIC–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: 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 taw. 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. t 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# 2-11012-017 OwnenAuthorized Agent Signature Date (Revised 5/20/20 6)