2923 COLBY AVE 2019-01-28 - Laserfiche WebLink

01/03/2018 WED 12: 20 FAX Fast Water Heater la 002/012 D-- PERMIT APPLICATION BUILDING/MECHANICAL./PLUMBING/SiGN/SPRINKLER/DEMOLITION r-osioWa,. CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 96201 (P)125-257-ae to I FAX 425-257-0857 I(E)everettep?Qeverettwe_gov I www.everetiwa.gov/permlie 22E2,2 r Black Ink Only Please) PROJECT SITE INFORMATION , PROJECT SiTE ADDRESS: (71,13 CO7,J Ave_ PROPERTY TAX#: I 0 ,• LEGAL for new construction: Short Platleubdivlalon Lot No`_,_ (attach Dopy of Icing lager deearipitan) CONTACT INFORMATION OWNER NAME: 1 .•` C5 V 1�//��'I ��n- TENANT NAME(If Commercial): �� // OWNER MAILING ADDRESS: Smear , "( i W 6 A Lk 14 X182--01 cm ,� i! STATE �n OWNER PHONE: 4 v • JIM.OWNER EMAIL: CONTRACTOR NAME: faST 1AJ A.I.S.1�, 'G A T.V _ - CONTRACTOR ADDRESS: STREET `y\�I"15 Ni t P C� _S �lr ‘D co CFP V} ' . ✓ STATE W zip r•l U', CONTRACTOR PHONE: —b2.S Ipp i al0 ,~ CONTRACTOR EMAIL:P.v., 1T S 'Flake,„{(MOl-} r. 60P41 CONTRACTOR LICENSE#(RECIUIRED):f//'s-NoW V"c" 3( J CITY OF EVERETT BUSINESS LICENSE#(REAU1RED)5 453 PRIMARY CONTACT: CI OWNER /7, CONTRACTOR ['OTHER(Please Specify) CONTACT NAME: CONTACT CONTACT PHONE: 1-1P-5- r ' Mr i K r CONTACT EMAIL: Kirwt:11-5 • -C= -106-�'��e p it._}eiy', Cl5v11 BUILDING PERMIT APPLICATION `"' 14 Existln. Use of Sulldin!: ) AA ALt,t `i Contract Price of Work:$ 14 1414 _ Proposed Use of BulldInq_ C1 Yl 1 '`� � `Heat Source: l*Gas DEiectrlc ❑Oiler 13ullding Tyee: DSFR-Detached OSFR-Attached °Dupiex LJMuitl-Femlly-#of Units Oommerclal rJIndustrlal _ Type of Project: ❑Naw OAcidition DRemodel �Repeir DTI ' EISI n LIS pdnkier DDemofltion DChange of Use DESCRIPTION OP WORK: inn o\I l re 1A ceS v1/4)A.�- V\ cater- ASSOCIATED BUILDING PERMIT#(if applicable): r&V l't -1 PSS MECHANICAL.PERMIT APPLICATION ,.... PLUMBING PERMIT APPLICATION Type of Project: _New Adan __Alteration Repair Type of Project: _New _/lddn _Alteration _„Repair #°f List'of Fixtures #of List of Fixtures Fixtures s List of i'txtures f=ixtures List of Fixtures Fixtures Fixtures A/C-Air Handling Unite Heat Pump Toilet Backflow Preventer(inside Bldg) 'Forced Air Systems Unit Heater Bathtub urinal ,/ ` Gas Pipfn9 Boller Lavatory(Wash Basin) Drinking Fountain Water Fleeter Alkikicte 5_S )�efrI oration Shower Floor Drain Fireplace Wood Stove Kitohe, ink&Dle�os Grease -p Gas Ran gee Ducting , • Die .ashes - -----..., •. brains - Clothes Dryer Hookups Other Clot =s Washer -. sl Gas .—Range Hood Wale Heater Other: -- Exheuet Fen Sink( .+ ••etc.), Other: ^ • L BMW ER-1-BUEP4KEBBIO M � arnica!or W • .of Heads ACKNOWLEDGEM NT`I have reviewed this application and confirm(ha Inhumation contained herein is true and correct.Work done pursuant to Ws permit must comply with current federal,stale,and low new.The granting of a permit only authorizes approved won end no deviations therefrom.Deviations must first Ds autAorI.ed in writing prom the Btlllding Official betbie being authorized under any circumstance.lam the owner,or!am authorized by the owner of ihis property to perform the work for which eppikefton is Frieda, and i comply with the State Contractors Law 1&27 ROW and 296.200A WAG. / rprv. # City of Everett Official Use Only Own' •uthor za:to; Signature Date (Revised WW1