2301 COLBY AVE 2018-03-12 - Laserfiche WebLink

I I' I PERMIT APPLICATIC "11 --":4 BUILDING`?MECHANICAL/ PLUMBING/SIGN /SPRINKLER I DEMOLITION *41a71 41 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 3' ::::'==_, :fi :#ito.,-3goet ott INFORMATION PROJECT SITE A "if PROPERTY TAX#: 2 301 % f!"/1` LEGAL for new construction: ort Plat/subdivision Lot No. (attach copy of long legal description) .,:•':-li'u:faa"e :�::�'F:i!i^'..._x:.`:':=:"-:�i`._...y.a,s:':-._.nS:i"_....��:�_::_...<r.:,_..:::-.:v:�_ - _ _ - _ c . _: .. ...._.__. .... .._, ... FORM ..._::=r�-- - . .,. ..,..::.:._.. �.. AOT_IN �-��.. _ .. .. .. _ .. _ ..:. . ..�... ,,..._,._. ..GOVT ........ _ - OWNER NAME: ,c�� a,4 11- qc tf Kcv TENANT NAME/� (If Commercial):om OWNER MAILING ADDRaS: STREET 2 c'/ 1. 2/„.e X -711'6--6 `,'D CITY 4,c4. STATE /Ft- ZIP g2(��) / OWNER PHONE: 746, 6 S 7-^-7 ?76— OWNER EMAIL: ST©k i S YQ I CC, coil CONTRACTOR NAME: D U N l�►„. CONTRACTOR ADDRESS: STREET CIN STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): ' PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT.PHONE: CONTACT EMAIL: ..:-..,:_', ._.:.-....;:.:.rq::;::=.:=RtTILID7N0,PERMIT•=APPLICE►TION.:.--.-t.' • .-..-:. :•,: :': -:- •Y Existing Use of Building: Off--1- 0 AKhO9.es(mil IPAL Contract Price of Work:$ 5 1000 Proposed Use of Building: �..1 S (D EN Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex PPMulti-Family-#of Units:_ i' XCommercial ❑industrial T pe of Project: New ❑Addition !`emodel ❑Repair 01-.1. ❑Sign ❑Sprinkler ■Demolition It; hanne of,UsP _ DESCRIPTION •FWORK: i tit\ �. ' vGC.l-(PIML U ZL _____o-PCuj -l-b, - el �=.e 71 tAt'�J `1: 1--14 i's- ti- fro o N Ug I 'ecT �'� �- �t- � w bay¢-Cr ,Q(�E1t-i • ., Fio/�_ V7 - °1-. _5”..EAN ? S C N-e.w - d ?�eIL y 1Zoc Sri_Loj tcV ws Q cf c� ' `ASSOC1ATE B UUI DING ERflfIIT A(it a�jsp able):/ �'�l ....• _ .: <:..:::.�: ::;.=-°r RERIV�IT�:A Tlb'N' '`,,: . :�� ,:MEC:HbNICAL:,PERIULIT.,APPLIQATION.;,�,::-,.:. . ...............rr_.. .. ....r . ......., r....... :r_......... .. .... 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 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: ":`;::`SPM,NKLER I SUPPRESSION SYSTEM0'.:`:::•:'- 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 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.lam the owner,or I am authorized by the owner of this properly to perform the work for which application is made, and I comply with the State Contractors Law 16.27 RCW and 296.200A WAC. City of Everett Official Use Only CA%ctle.c, . 0 PERMIT# Date (Revised 10/12/2015) rw-. Owner/Authorir�Agent Signature J '