2921 PANAVIEW BLVD 2019-09-24 - Laserfiche WebLink

PERMIT APPLICATION igill:1011 11 ''''.4„. BUILDING / MECHANICAL/ PLUMBING ! SIGN / SPRINKLER/ DEMOLITION vital CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps(eeverettwa.gov I www.everettwa.gov/permits [Blue or Black Ink Only Please) PROJECT SITE INFORMATION .PROJECT SITE ADDRESS:2921 PANAVIEW BLVD PROPERTY TAX#:00603700012600 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: JOHN/SHERRY PRIEST TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET2921 PANAVIEW BLVD cm, EVERETT STATE WA ZIP 98203 OWNER PHONE: 425-238-8708 OWNER EMAIL:Priestsd53@gmail.com CONTRACTOR NAME:C.M. HEATING INC CONTRACTOR ADDRESS: STREET 1415 BROADWAY civ 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): 010098 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-259-0550 KAILANA CONTACT EMAIL:KAILANA@CMHEATING.COM BUILDING INFORMATION Existing Use of Building: Contract Price of Work:$12,000 Proposed Use of Building: Heat Source: IZGas Electric ❑Other BUILDING USE: SFR i iTownhouse ❑Duelex ❑ADU ❑Multi-Family-#Units: ❑Commercial DAccessory Structure T .e of Prosect: ❑New ©Addition ❑✓Remodel ❑Re.air :Jr!, ❑Si.n ❑Srrinkler ❑Demolition ❑Chan a of Use DESCRIPTION OF WORK: : LIKE IN KIND GAS FURNACE CHANGE OUT WITH HEAT PUMP INSTALLATION ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures A/C-Air Handling Units Gas Piping r 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 Ventilatior 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) 1 1 Forced Air Systems Other y ' Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER!SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water 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.i am 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 Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only - Y!t/.eY /1041 ti 04/11/19 PF #�9,014 — o' f; / f �Y .V�- awner/Authorized Agent Signature Date (Revised 10/10/2018) �J` -t