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3525 COLBY AVE 2019-08-07
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3525 COLBY AVE 2019-08-07
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Last modified
8/7/2019 1:07:31 PM
Creation date
8/7/2019 1:07:30 PM
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Address Document
Street Name
COLBY AVE
Street Number
3525
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• <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL I PLUMBING/SIGN I SPRINKLER/DEMOLITION • <br /> __r- CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 . <br /> (P)425-267-8810 I FAX 425-257-8857 I(E)everetfeps@everettwa.gov i www.everetfwa,gov/permits . <br /> (I ►ri®•oar 1 Iick tiik eintf.l ( e) • : • kitmud edit INFO. :rviA r II . <br /> PROJECT SITE ADDRESS: - fi <br /> - GeV Q(/ ••.5— /e'c !PROPERTY TAX#: I <br /> i <br /> LEGAL for new construction: Short Plat/subdivision Lot No, (attach copy of long legal description) <br /> : . ' ..cokittAer.Ilk okt/1' llom . . .• . ... • • . • . . .• <br /> OWNER NAME: 8�ZL L: Y{Lvt;(jJ TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: sTREer .. 5 Os Clo(Li L; ( I ZOO . <br /> CM CU iZ(,"'Z'r .y STATE (, _ ZIP f cr Za <br /> ,OWNER PHONE: Cl2c) .�C.z. . 5/lel !_..... M_.._ 1,OWNEREMAiL:V ,,. ...., ..A// ..,, .. ....... � ...- ...,a, ,M..... <br /> CONTRACTOR NAME: E U . AJ 6 774-11C ftcer CiPt-c ' <br /> CONTRACTOR ADDRESS: STREET `2- '20 1An -t P- - AU I- <br /> • <br /> CnY S.V CT STATE U.)A-- ZIP b 6320 <br /> CONTRACTOR PHONE: 4'2-5.-2.51-3//C-f • CONTRACTOR EMAiL: kee‘60e-L, lag 1.,,a.,60 yiA, <br /> CONTRACTOR LICENSE#(REQUIRED): E(J Cy5S®2�0 T. CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 4.1 6-i q,,5-5- <br /> PRIMARY CONTACT: 0 OWNER RCONTRACTOR 0 OTHER(Please Specify) • <br /> CONTACT NAME: CONTACT PHONE: 14 S--2-5-2--`,//51 <br /> CONTACT EMAIL: <br /> BLJ1LAING P Riil ITAPPL[CATIOhi : <br /> Existing Use of Building: ! Contract Price of Work:$ 'EJP. <br /> Proposed Use of Building: Heat Source: IGas CEEieclrtc mother <br /> Building Type: EiSFR Detached OSFR-Attached ODuplex DMuIti-Family-#of Units: l Commercial Ellndusfriai <br /> Type of Project: ENew ElAddltIon DRemodel VRepalr DTI. LlSlgn OS.rinkier DDemolitfon EIChan•e of Use <br /> DESCRIPTION OP WORK: t(O1,st t� i✓k'(5'i'rKA, 4AtS FA 2.1.).4c-- -- t2%j rv�Gv q 49`J a z*.i t'r • <br /> ASSOCIATED BUILDING PERMIT#(if a.likable): , <br /> Type of 1111 �1I DRi Project: SAL W1IT APP od z,nal <br /> Type of Project:$ G�&P�Iew � Addis���Al Alteration Repair I I <br /> Fixtures List of Fixtures 1 Fixtures List of Fixtures 'Fixtures List of Fixtures Fixtures List of Fixtures <br /> A/C-Air Handling Units Heat Pump ; Toilet Backflow Preventer(Inside Bldg) <br /> / Forced Air Systems I Unit Heater Bathtub Urinal ! • <br /> Gas Piping I Boiler Lavatory(Wash Basin) Drinking Fountain . <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace 7 i Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting I Dishwasher Roof Drains <br /> Clothes Dryer Hookups i Other: ` Clothes Washer Medical Gas I ' <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.); Other: <br /> i <br /> • . • SPRiINKL.Et /S.V0PRIE SION SYSTTEiW , ' j <br /> Number of Heads <br /> a CKNOWLEDGEMENT:1 have reviewed this application and confirm the Information contained herein is true and correct.Work done pursuant to this permit must comply with j <br /> wrrentfedera,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 <br /> ru1/ding Official before being authorized under any circumstance.I am the owner,ori am authorized by the owner of this property to perform the work for which application Is made, <br /> nd i comply with the State Contractors Law 18.27RCW and 290.200A WAC. j <br /> / City ofEverett Oficial Use Only <br /> / i <br /> PERMI ���r� �n� <br /> 6,-i--�. c- Grp i.,-- <br /> ! Z Il. j 6� <br /> wner/Autt prized Agent Signa ure Date (Revised 6/20/2018) I <br /> 1 <br /> i <br />
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