2722 COLBY AVE RAINIER TITLE 2019-03-25

PERMIT APPLICATION 0044 . BUILDING / MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 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: c2-1 as Cp11 ) ,Cr�,.P PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: .Q- c,00,5.1,- r(mac-i;-,r e c., SL-f c/Le,-&- tQ C:91 tie CONTRACTOR ADDRESS: STREET ( i WLU 14I 11-et �‘0e Uc( S r tie /a CITY t,./nri.thfr \ STATE V)4 ZIP 9'3 C7 CONTRACTOR PHONE: 't-1,-§- 3a2 31 9 CONTRACTOR EMAIL: 4 .euo! e INCQ(e c.-- a• CONTRACTOR LICENSE#(REQUIRED): tijQ ..;,..cil p ec7 p CITY OF EVERETT BUSINESS LICENSE#(REQU "ED): O$ .5...-411L1 PRIMARY CONTACT: 0 OWNER LIYCONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: T(se- o k,rc ,.14CONTACT PHONE: Lac-- Si 3 , (o CONTACT EMAIL: -tic%)0 w2 , - CS • C-'a'ry BUILDING PERMIT APPLICATI , Existing Use of Building: Contract Price o Work:$ 9tce y''d Proposed Use of Building: Heat Source: Gas DElectric ■• er Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex`/DMulti-Family-#of Un • r='ommercial ❑Industrial Type of Project: ❑New ❑Addition llgemodel ❑Repair +LT.I. ❑Sign DSprinkler DDemolition ❑Change of Use DESCRIPTION OF WORK: )✓lsmitod,O/7 c ire 604-/-a,if S S ASSOCIATED BUILDING PERMIT#(if applicable): a t S_-- o 37 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 #°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 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 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 the Building Official before being auth ized under any circumstance.lam the owner,or I am authorized by the owner of this property to perform the work for which application is made, and I comply with the State Contr ctors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only 7//r ,i lg FERMI l SO^�`I ,^ I Own orized Agent gnature Date (Revised 9/23/2016) `(/�Q/