3825 COLBY AVE 2019-01-28 - Laserfiche WebLink

II'' II IIIIIIIOLTPERMIT APPLICATIO IIIII BUILDINIJ i4IECHANICAL I PLUMBING I SIGN RINKLER 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 I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: .,71.25----Co/ ,ve-?T j 4i PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) • CONTACT INFORMATION OWNER NAME: U.-Poo/1j c_i A/4 TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 3e017 CO &/ 4 cry 7. STATE 4.€441 ZIP f FO`3/ OWNER PHONE: 4 -32? —/420 OWNER EMAIL: // CONTRACTOR NAM E: k C r CONTRACTOR ADDRESS: STREET 99 7 14-e 2( ..6-41 , CITY irkik// STATE 6614, ZIP 9v..7 CONTRACTOR PHONE: .,?6(2,2, , _ s •, r. OR EMAIL: �,y,y/17 � a,- rkt , < CONTRACTOR LICENSE#(REQUI" I): 4 tI i_��J •4t� ,p TY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER I' ONTRACTOR 0 OTHER(Please Specify) 4 ►,.. •/ a CONTACT NAME: mss' "-->✓. li g CONTACT PHONE: 3aa -a ? cl J Zinr11..,Fovea' .ce.,CR Oyu z/c/tri ,,?ie— CONTACT EMAIL: �s /3) Cjb�te Tr) (-Jfrft43 h,hoe BUILDING PERMIT APPLICATION Existing Use of Building: jj 1,' Contract Price of Work:$ Proposed Use of Building: Heaj,.Source: as DElectric DOther Building Type: DSFR-Detached ❑ ed ❑Duplex 81Clufti-Family#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition P6emodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ODemolition ❑Change of Use DESCRIPTION OF WORK: de, 1" /tea)6.v‘ cc: i5ec c." as 0l/!, �?j r ,t1 p,4.0„S Pouif- ,-- [ kSL' ; w s i/- "evopec/ - l¢ °erte/ ASSOCIATED BUILDINGPE�#(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 Washes Medical Gas Range Hood / Water Heater, Other: / Exhaust Fan / Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM ;! 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 tthe- 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 l comply with th. tate Contractors Law 18.27 RCW and 296.200A WAC. / '9 City of Everett Official Use Only - A im ili N.---- P7rTit 00S Owner/I"orized Agent Signature Date (Revised 9/23/2016)