5031 COLBY AVE 2018-01-18 - Laserfiche WebLink

� PERMIT APPLICATION BUILDING `Z�IECHANICAL / PLUMBING / SIGN /�RINKLER / 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 Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 503� COIb AVEf1UE, Everett, WA PROPERTY TAX#: 00377500001 OOO LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION owNER N,anne: FRY RHEY L TENANT NAME(If Commercial): OWNER MAILING ADDRESS: srREET 5031 COLBY AVE c�n Everett STATE WA Z�P 98203 OWNER PHONE: OWNER EMAIL: coNTRacTOR NAnnE; Cameron Hanke (Seahawk Remodeling) CONTRACTOR ADDRESS: sTReer 11108 17th Court West ��n Everett STATE WA Z�P gg206 CONTRACTOR PHONE: �425� Z75-3298 CONTRACTOR EMAIL: Caf112f011f1af1k2HC mail.com CONTRACTOR LICENSE#(REQUIRED): SEAHARLHHZMP �'C�j ZZ I -a� CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): � Zj PRIMARY CONTACT: ❑ OWNER �CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: BUILDING PERMIT APPLICATION x Existing Use of Building: SFR Contract Price of Work: $.�-� , C��.�� Proposed Use of Building: SFR Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel �1Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Repiace existing attached deck with new deck of similar size&shape 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 Fixfures #of List of Fixtures #°f List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bidg) 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 Chemical or Water No. 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 comp/y with current federal, state,and/ocal law. The granting of a permit on/y authorizes approved work and no deviations therefrom. Deviations must first be autho�ized in writing from the Building Official before being authorized under any circumstance. I am the owner,o�1 am authorized by the owner of this property to perform the work for which application is made, and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use On/y PERMI �] � �,�....-------�-- �:?�----,�.�'LA _ 08/01/2017 � (_ �c�C1� I� Owner/Authorized Agent Sigriature Date (Revised 9/23/2016)