2733 COLBY AVE FUNKO 2019-01-28 - Laserfiche WebLink

PERMIT APPLICATIO BUILDING / MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 01477 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 2135 eot.B% PROPERTY TAX#: 0O4.31 I G ZS b 13 0 0 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) / CONTACT INFORMATION OWNER NAME: Fait)/GO Cl G TENANT NAME(If Commercial): r4AI k4l Ct � OWNER MAILING ADDRESS: STREET 12/x,0 2 5 h 1(/44, . W f CITY e f� STATE \� ZIFIn_3 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: fzErl) flAioseJJ1,h� r(ThSiY'u[,fi�U' I ytc CONTRACTOR ADDRESS: STREET 2Q )O " IOW •3 } CITY �+ILJy��IInnt 1 J STATE\al ZIPS 213 V CONTRACTOR PHONE: +1 ) �JI✓ —V-I 61 CONTRACTOR EMAIL: 602, 519. 06S CONTRACTOR LICENSE#(REQUIRED): yl S t G S 01�61 Db CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 3(20 - Z02,- 6V, OZ'6u T 11{ CONTACT EMAIL: ?/r}`�Z�f2.�7e5<L-r/J,420F e ,Idv�•CC's"y""' BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ ID, 0 o 0. U� Proposed Use of Building: - Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex OMulti-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: item° - € 61-.96), 4-0o 1./12-14) /2s7-72oo n� \AAA401 K11\ AAA • 4460(\e-6C1 ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn Alteration _Repair Type of Project: _New Addn _Alteration Repair #ofList of Fixtures #of List of Fixtures #of List of Fixtures #°f 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 m 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/SUPPRESSION SYSTEM Chemical or Water I INo. 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 I am authorized by the owner of this property to perform the work for which application is made, and!comply with the State Contractors Law 18.27 RCW and 296.200A WAC. J City of Everett Official Use Only MT 1Ur L% ®UIVYVJ `/ c4)o3I9l !J, PER T1 DO1-1 - DV? Owner/Authorized gent Signature Date (Revise 9/23/2016)