3125 COLBY AVE FIRST BAPTIST CHURCH 2019-12-31

#46-77- • PERMIT APPLICATION. BUILDING / MECHANICAL/ PLUMBING / SIGN / SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 3125 Colby Ave PROPERTY TAX#: 00439173701200 LEGAL for new construction. Short Plat/subdivision _ Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: First Baptist Church of Everett TENANT NAME(If Commercial): Various OWNER MAILING ADDRESS: STREET 2829 Rucker Ave STE 100 CITY Everett STATE WA ZIP 98201 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: PSR Mechanical CONTRACTOR ADDRESS: STREET 3132 NE 133rd St CITY Seattle STATE WA ZIP 98125 CONTRACTOR PHONE: 206-367-2500 CONTRACTOR EMAIL: daniel.kim@psrmechanical.com _ _ CONTRACTOR LICENSE#(REQUIRED): PSRHVMS924JT CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):018564 PRIMARY CONTACT: D OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-427-6160 Daniel Kim CONTACT EMAIL:daniel.kim@psrmechanical.com BUILDING PERMIT APPLICATION Existing Use of Building: Office Contract Price of Work:$$1565.00 Proposed Use of Building:Same Heat Source: VIGas 0 Electric DOther Building Type: ❑SFR-Detached DSFR-Attached ODuplex DMulti-Family-#of Units: ZICommercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ORepair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Gas Cap due to fire. ASSOCIATED BUILDING PERMIT#(if applicable): None MECHANICAL PERMIT APPLICATION _ PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn _Alteration j 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 I a 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 lNumber 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': and 296.200A WAC. City of Everett Official Use Only Owner!Authojz•• •gent Signature Date (Revised 9/23/2016)