1602 COLBY AVE 2019-01-25 - Laserfiche WebLink

1,» PERMIT APPLICATION �'"�' BUILDING/MECHANICAL/PLUMBING/SIGN /SPR_LER ER/DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits h pry a ry � , ' »j r, PROJECT SITE ADDRESS: 1602 Colby Ave Everett WA 98201 PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision y y�Lot No. (attach copy of long legal description) ri7«'2- Zu� .1^, v �_._.I. .,., _ , .",,,�,� ._ ... ' .. .,.- „ .,.y.. ..: OWNER NAME: Sheldon and Stephanie Anderson TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1602 Colby Ave cnv verett STATE WA ZIP 98201 OWNER PHONE: 206 658-5922 OWNER EMAIL: Sheldon@marketstreetdev corn CONTRACTOR NAME: Axiom HVAC Inc. CONTRACTOR ADDRESS: 2232dway Ave.Suite 101 CITY verett STATE WA ZIP 98201 CONTRACTOR PHONE: CONTRACTOR EMAIL: James@axiomnw.com CONTRACTOR LICENSE#(REQUIRED): axiomhi892rm CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 54279 PRIMARY CONTACT: IiOWNER ❑CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206 658-5922 Sheldon Anderson CONTACT EMAIL: Sheldon@marketstreetdev.com Existing Use of Building: Contract Price of Work:$ $25,000.00 Proposed Use of Building: Heat Source: Gas 13 Electric El Other Building Type: IFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑Idew ❑Addition (=Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Install gas furnace downstairs with ducti(g,heat-pump upsatairs,gas piping to 5 outlets ASSOCIATED BUILDING PERMIT#(if applicable): p�� a & 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 NC—Air Handlin• Units MEM Heat Pump -Toilet -Backflow Preventer Inside Bld• MEI Forced Air S stems -Unit Heater -Bathtub S Urinal 1111 Gas Pipin. -Boiler -Lavatory Wash Basin -Drinkin. Fountain Water Heater Refri.eration -Shower -Floor Drain Gas Fireplace -Wood Stove -Kitchen Sink&Disposal -Grease Trap Gas Ran.e IMM Ductin• -Dishwasher -Roof Drains Clothes D er Hooku•s -Other: -Clothes Washer -Medical Gas Range Hood -Water Heater -Other: Exhaust Fan -Sink Service/Bar/Mop/etc.)-Other: twrry.1-AriTen —7„'STEM 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.I am the owner,or lam 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 f U PERMIT ni l 1 0 49\ Owner/Auth gent Signature Date (Revised 5/220//20016)