4310 COLBY AVE 2020-01-02 - Laserfiche WebLink

PERMIT APPLICATIOSERVICES�� BUILDIN1ECHANICAL/ PLUMBING/SIGN=RINKLER/ DEMOLITION ' CITY OF EVERETT PERMIT "IP04 ---/-4 ,1/244/ 13200 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:4310 Colby Ave PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Providence TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 4310 Colby Ave CITY Everett STATE WA ZIP 98201 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Berry Sign Systems CONTRACTOR ADDRESS: STREET 7400 Hardeson Rd CITY Everett STATE WA ZIP 98203 CONTRACTOR PHONE: 425.776.8835x114 CONTRACTOR EMAIL: tracies@berrysignsystems.com CONTRACTOR LICENSE#(REQUIRED): berryss857b7 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):024786 PRIMARY CONTACT: ❑OWNER ?J CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425.776.8835 x114 Tracie SkileS CONTACT EMAIL:tracies@berrysystems.com BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ 3 -ve Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ViSign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: install 1 wall sign g 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 #°f List of Fixtures #°f List of Fixtures Fixtures Fixtures Fixtures Fixtures NC—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 RooTDrams Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM 'Number 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 7.41 I TglIT. __ _ .. - -i5_ PERM1ce)0 Owner/Auth rite gen ign re Date ( evised 9/23/2016)