4535 COLBY AVE 2018-05-14 - Laserfiche WebLink

��a��c,��riol I ��1oLDBi�G /i�iE�HA.NIC.4L/ �LIJi��I�G /�ICh� /SPRo�9�LER/ DE�OL��'101� CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 � FAX 425-257-8857 �(E)everetteps@everettwa.gov 1 www.everettwa.govlpermits (�lue or�iac�s Snk�n9y�I��se) ��'�'�9'i'� 1��1A'i'I�AB PROJECT SITE ADDRESS: �$-3� CO1� � PROPERTY T�1X#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CON"1'AC`i' IN�ORiV1A"t10t+i OWNER NAME: 2 a� RfG qpo�rr,p� TENAIVT NAME(If Commercial): OWNER MAILING ADDRESS: s-rReer �/ 2� '% y �• CITY G N rf�✓> D(J, STATE ZIP �O�/ OWNER PNOME: yZr L�S��C� � OWNER EMAIL: !�'� 9�"z- � �t rl oD��.,� CONTRACTOR NAME; Yvl.� � 9 Q D 4✓1�91. Sbh� CONTRACTOR ADDRESS: s-rReEr �8�2/ -�Jy� M� CITY y✓/!V 0 D(� STATE �•�, Zlp � v 3� CONTRACTOR PHONE: yZf`- 2/Q �(0 3&Z CONTRACTOR EMAIL: � R�G q�o'd.Co r.� CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): _ , . ,... PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR OTHER{Please Specify) �'0"� CONTACT NAME: ��`U�� J� q�(� G bNri4'h CONTACT PHONE: y2/'-Z��^��d'Z � CONTACT EMAIL: �� qfCh�✓ G�uo.tQ' BUILDING PERIVIIT APPLICATION `�, Existing Use of Buiiding: ►"e S��phe�P reKfq/ Contract Price of Work:$ Proposed Use of Building: Heat Source: �Gas ❑Electric ❑Other Buiiding Type: ❑SFR-Detached ❑SFR-Attached ❑Dupiex ❑Multi-Family�#of Units: ❑Commercial ❑Industrial Type of Project: ❑New DAddition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkfer ❑Demolition ❑Change of Use DESCRIPTION OF WORK: �,Q,CZ V I �"P'� I',,�t:C��d� o� I'1'��-eli' � h�IJS:PJ- � � ASSOCIATED BUILDWG PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLI�CATION Type of Project: _New _ Addn _Alteration Repair Type of Project: _New _Addn _Alteration _Repair #of List of Fixtures #of Ust of Fixtures #of List of Fixtures #°f List of Fixtures Fixfures Fixfures Fixtures Fixtures A/C-Air Handling Units Heat Pump Toilef 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 Firepiace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups 04her: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRIR➢KL.ER!SUPPRESSIOIiI SYS`TEN1 Chemical or Water No.of Heads ACKNOWLEDGEMENT.•I have reviewed this application and confirm the informafion contained herein is true and correct Work done pursuant to this permif must comply with currenf federal,state,and local law.The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must frrst Be authorized in writing from the Building Official before being authorized under any circumstance.I am the owner,or l am authorized by the owner of this properfy fo perform the work for which application is made, and I comply with the State ontractors Law 18.27 RCW and 296.200A WAC. City of Everett Offrcial Use Only Q PER I # �� ` Q� � l 2-�'' Z�,f 7 Owner/ uthorized Agent Signature Dat {Revised /23/2016)