2301 COLBY AVE 2018-03-12 - Laserfiche WebLink

tigirPERMIT 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 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Sbat-, t,( PR o c( kcTENANT NAME E(If Commercial): OWNER MAILING ADDRCSS: STREET ,2 v('( r(/,e6ke # CITY f' /et STATE U), -' ZIP`71,2.Y' OWNER PHONE: 760-C,�7- Il 1(N. --- OWNER EMAIL: ,S7 O k t T 3 /"� yc Itch . (a 7 CONTRACTOR NAME: 0 V CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: XOWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: 7 C CONTACT PHONE: Q 6',3'7-4''3,'ji �i't ( 0(C a" CONTACT EMAIL: l /� l`�J �(� NLfJG� % C o y BUILDINGe _ � �) PERMIT APPLICATION , Existing Use of Building: r2/�L� ,,,es2. I'pr�%1iiJf-� Contract Price of Work:$ Proposed Use of Building: Heat Source: ❑Gas DElectric ❑Other Building 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: • Suva- 1.4-E c t 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 #°f List of Fixtures #°f 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 I Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove rs 1 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 I 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 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 ERMIT o6 _ 5 /7 ' (#705 , - Owner/Auth rized Agent Signature Date (Revised 9/23/2016)