2944 COLBY AVE 2019-01-28 - Laserfiche WebLink

Or'ETT PERMIT APPLICATION- BUILDING / MECHANICAL I PLUMBING /SIGN / SPRINKLER I 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 1 www.everettwa.gov/permits 41(Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: cry:17/ L� PROPERTY TAX#:�y /61>'�LLi LEGAL for new construction: Short Plat subdivision J Lot No. ..7950 (attach copy of long legal description) CONTACT INFORMATION IV OWNER NAME: C1/ !0 [ TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET „9,,,yy , 6 ,4 CITY STATE mss/ ZIP !O c)e,/ OWNER PHONE: Y yqy/ OWNER EMAIL: 1s CONTRACTOR NAME: r/e riN / 4 CONTRACTOR ADDRESS: STREET a3/l //` Z., fi SC. / �^]Q CITY -�ifO�Ci�fa/�fr f.. STATESL4 ZIP %(Fell D CONTRACTOR PHONE: 1/4 d-c 7/ CONTRACTOR EMAIL: 1jj ( 'fee;v4 Je^AK� 0-21'04 A CONTRACTOR LICENSE#(REQUIRED): mie, 7 e7�C CITY OF EVERETT BUSINESS LICENSE#(RREQUIRED): PRIMARY CONTACT: 0 OWNER I EONTRACTOR ❑OTHER(Please Specify) CONTA T NAME: PHONE: Y�= ��-3�y/ .r,af 4.0",/,-- CONTACT EMAIL: eil @. (coirlegvt orir /, BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work: $ (/4)'m Proposed Use of Building: Heat Source: ❑Gas DElectric DOther Building Type: ❑SFR-Detached DSFR-Attached ❑Duplex ❑Multi-Family-#of Units: DCommercial 0 Industrial Type of Project: 0 New ❑Addition ❑Remodel 0 Repair DT.I. ❑Sign ArSprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: eV i 10./1 r6 c9tls?� e'1Cia7 ifigI 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 #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 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/SUPPRESS1O TEM Chemical or Wate 1 bj No. of eads ACKNOWLEDGEMENT:I have r awed 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 I a ply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only „, ________ ��'� PERMITS / n , ., . D09) O er/Authorized Agent Signature Date (Revised 9/23/2016)