2811 COLBY AVE 2018-01-08 - Laserfiche WebLink

� PERMIT APPLICA�'ION � 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 (Blue or Black Ink Only Piease) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:2S�� COIby AV@ B PROPERTY TAX#: LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: M8J0�L@8gU@ PIZZa TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTReET 2811 Colby Ave ciTv Everett STATE WA ziP 98201 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: B@fF')/$Igfl $yStefllS CONTRACTOR ADDRESS: srReET 7400 Hardeson Rd cirv Everett srn-re WA ziP 98203 CONTRACTOR PHONE: 425.776.8835x114 CONTRACTOR EMAIL: tracies ber signs stems.com CONTRACTOR LICENSE#(REc1UIRED): b@�PYSS857b7 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):O247HG PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425.776.8835 X��4 Tracie Skiles coNTacr ennAi�:tracies@berrysystems.com BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ �949.�0 Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Buildin 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: install 1 wall sign 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 Fi�rtures ��f List of Fixtures #�f List of Fixiures #°f List of Fixtures Fixtures Fixtures Finiures 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 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 federa/,state,and local law. The granting of a permif only authorizes approved work and no deviations theref�om.Deviations must first be authorized in writing from the Building Official before being authorized under any circumstance.I am the owner,or 1 am authorized by ihe 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# -� �� - �p � O r/ horized A ent gnature Date (Revised 9/23/2016) ��`� -�