5317 COLBY AVE 2018-05-14 - Laserfiche WebLink

III'I' PERMIT APPLICAT BUILD�/MECHANICAL/ PLUMBING /SI PRINKLER/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 Bl:a:ck,Ink:Only,.R�ease}; <. Pl�O�IEG��'�SI�T.E'-INFO�RMATI�N`�� '°� � PROJECT SITE ADDRESS: �� (.C� PROPERTY TAX#:�a ��O�Od�O LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) CONTACT INFORM'ATION OWNER NAME: � f a � TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET � I �- ("� f I� .�C,� CITY � h.� }� STATE �p� ZIP OWNER PHONE: �o� '�j o� s � � OWNER EMAIL: SQ,I�LL�'l+�(�C d1�I i��Yl�f /'l�'1�G'�!�� CO � CONTRACTOR NAME; �,� CONTRACTOR ADDRESS: sTReeT CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: �OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 'C} �'a D (� l�(�,,� ' '�'v l,Y �,� CONTACT EMAIL:� ��ci,� h L�/�•�,S� ' I"�1' � - '' BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work: U -^' V � �` Proposed Use of Building: Heat Source: �Gas ❑Electric ❑Other Building Type: �FR-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: r'�Y1/�V 1 ��S� IIJ� �i (`��I P-C�t 1 � (it�Gt,� jY1 � ,,,� r�e rr�"Wv,i �3'x �►��w �, ��.�taL �i�h a 9 � ,��rc��`r1 , , t +�o�,�� y �k,� w ►r��,,aw iv�.-�a a 3 f� � y � '_ y� li'�I��y .�R�,,1�n�vvc� �� o�; , ASSOCIATED BUIeDING PERMIT# if a licable: `� �J� 6 c��w� �v� � i n�la C� �S'��U��[ti�(l�� P�t�I/'P� . �' `MECHANICAL PERM17 APPLICATION ` ' ' PLUMBING PERMIT APPLICATI,ON _ . . 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 Bld ) 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 I SUPPRESSION SYSTEM . Chemicai or Water No.of Heads �� I�I � ACKNOWLEDGEMENT:1 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 loca/law.The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the Building O�cial 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 � � I P IT#�O��O � Owner/Authorized Agent Signature Date (Revised 9/23/2016) ��.