1814 COLBY AVE 2019-01-25 - Laserfiche WebLink

PERIT BUILDING ECHANICAL I PLU BING I SIGN nI in / DEMOLITION 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 1 www.everettwa.gov/permits (Blue Or Rtack.16101 jy Please) ...s. .< , PROJEC SIT.E.INFO ATIOGt+ =_,'k . ,. . _ .i S ' ' ,` M PROJECT SITE ADDRESS: 4 (4.4y A PROPERTY TAX#: cx�<3Flc,�6So2. LEGAL for new construction: Short Plat/subdivision ! Lot No. (attach copy of long legal description) w,.�� ... .....s�.r- ., . ��.k . �. .�.�� 2.,..,`CON��C�,INFORMI►�'J�4N�.� �� ;.,. �.��.�� ,..'�� ,� ��. OWNER NAME: S-(yytj1 TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET l$c4 Ave_ CITY G tic'C-t- - STATE e„,,/,ff- ZIP 6S-2..c7 OWNER PHONE: yS .3 - �3c.v OWNER EMAIL: CONTRACTOR NAME: A-\,1 tst 4r.. ..4;,,, CONTRACTOR ADDRESS: STREET 1133 Z t�Gma /f 13 12 t� CITY Yhtw kt'(fee) STATE t../ ZIP IN Z 7- CONTRACTOR PHONE: 4 - l2 Z2.72_ CONTRACTOR EMAIL: C__141) L�-cl/y / h,,4- .Cu+77 ..... CONTRACTOR LICENSE#(REQUIRED):.5 ,4{y ..pH CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):If O/c(_ ..v Q r PRIMARY CONTACT: 106WNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: - ,a G� CONTACT PHONE: q'-, ,34c_ 413 ) CSCONTACT EMAIL: Existing Use of Building: ald/eje",�. Sl; [ - r►, Contract Price of Work:$ 44,.ci Proposed Use off,...B�,,ui��ldinCa g: ." Heat Source: llas ❑Electric ❑Other Building Type: la�srR-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: !_ '1'Z] r, ASSOCIATED BUILDING PERMIT#(if applicable): '*MECHANIC P MIT A`PPLIC ► ',AN„ .< < '., s USlll(t3, NGPER 1 APKUCAT41 1 M 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 Z 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: SVON.4-WAVISM 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 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 PERMIT# ( Of - O3 ? Owner/Authorized Agent Signature Date (Revised 9/23/2016)