218 78TH PL SW 2019-09-18 - Laserfiche WebLink

0111111111;-"H 0 it w 0 PERMIT APPLICATION BUILDING / MECHANICAL I PLUMBING /SIGN I 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@ievereftwa.gov I www.everettwa.gov/permits Wu*or Black Ink Only Plw*rw* PROJECT SITE INFORMATION PROJECT SITE ADDRESS:218 78TH PL SW PROPERTY TAX#:00476700001200 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: GREG FOX TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET218 78TH PL SW I carr EVERETT STATE WA zip 98203 OWNER PHONE: 425-347-8969 OWNER EMAIL:kf7t@frontiercom CONTRACTOR NAME:C.M. HEATING INC CONTRACTOR ADDRESS: STREET 1415 BROADWAY ci-y EVERETT STATE WA ZIP 98201 CONTRACTOR PHONE:425-259-0550 CONTRACTOR EMAIL:KAILANA@CMHEATING.COM CONTRACTOR LICENSE#(REQUIRED):CMHEAI*09554 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 016098 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-259-0550 KAI LANA CONTACT EMAIL:KAILANA@CMHEATING.COM BUILDING INFORMATION Existing Use of Building: Contract Price of Work:$4000 , Proposed Use of Building: Heat Source: OGas OElectric OOther • • • # BUILDING USE: OSFR ❑Townhouse ❑Duplex EADU ❑Multi-Earnlly-#Units.__ ECommercial L.IAccessory Structure Type of Project. ©New ❑✓Addition ❑Remodel ❑Repair DT.I. ❑Siga OSprinkler ❑Demolition EChange of Use DESCRIPTION OF WORK: SINGLE ZONE DUCTLESS HEAT PUMP INSTALLATION ASSOCIATED BUILDING PERMIT#(if applicable). MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures come List of Fixtures Count List of Fixtures Count List of Fixtures NC—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) _ Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer I Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilation Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER I SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other 7ieter Suppression System No.of Heads Chemical Suppression System '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 authorized under any circumstance,/am the owner,or!am authorized by the owner of this property to perform the work for which application is made, (d'nd I comply with the State Contractors Law 18,27 RCW and 296,200A WAC. C1tyof Everett Official Use Only .K..,A�J...,RA� 7////3/ 1 I/ PERDv `, `� l \ 09/06/19 1l ---oO Owner/Authorized Agent Signature Date (Revised 10/10/2018) i 1 i