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PERMIT APPLICATION <br /> BUILDING/ MECHANICAL/PLUMBING I SIGN /SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I.(E)everetteps@everettwa gov i www.evarettwa.90v/Pannits <br /> (BIN.or Block Ink Pl � PROJECT-SITE`INFORMATION` <br /> ,..� <br /> PROJECT SITE ADDRESS:2410 PINE ST PROPERTY TAX#: <br /> LEGAL for new construction: Short Platisubdivlslon Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: SAMANTHA MCCRACKEN TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET2410 PINE ST <br /> carr EVERETT STATE WA ZIP 98201 <br /> OWNER PHONE: 206-718-3103 �W: ; t EMAIL Smccracken87@gmaii.com <br /> CONTRACTOR NAME:C.M. HEATING INC <br /> CONTRACTOR ADDRESS: STREET 1415 BROADWAY <br /> cny EVERETTSTATE WA ZIP 96201 <br /> CONTRACTOR PHONE:425-259-0550 CONTRACTOR EMAIL:DEBBIE@CMHEATING,COM <br /> CONTRACTOR LiCENSE#(R EQUiRED):CMHEAI*09554 CITY OF EVERETT BUSINESS LICENSE#t{#EQs UIREOi:. 016098 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify), <br /> CONTACT NAME: CONTACT PHONE:425-259-0550 <br /> DEBBIE CONTACT EMAIL DEBBIE@CMHEATiNG.COM <br /> ti A L BUILDING INFORMATION <br /> Existing Use of Building: Contract Priceof Work: 1473.00 <br /> Pros-sed Use of Bu titin=: Heat Source OGas OEleciric Doti er <br /> BUILDING USE OSFR ❑Townhouse ElDuplex DADU ❑Multi-Fatally-#Units: ElCommercial EIPAcessory Structure <br /> m _e <br /> Type of Protect ❑New ❑Addition DRemodei DRepak 0T.1. OSign 0S,trinide'r ❑Demolition ❑Chane of Use <br /> DESCRIPTION OF WORK: REPLACE GAS WATER HEATER <br /> ASSOCIATED BUILDING PERMIT#(If applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMITAPPLICATIION <br /> Fixture <br /> Flxtun Futuro Future <br /> Count List of Fixtures count List of Fixtures Count List of Fixtures Count List of Fixtures <br /> NC—Air Handling Units Gas Piping Backflow Preventer(inside Bldg) Shower,Tub,or Combo <br /> Boller Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer ` P•. Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct.System(Remodel Reefrlr(eration ` . --- Drinking Fountain Sink-Utility,Laundry mop <br /> Exhaust Fans(Residential), Commercial Ventifatior Floor Drain Toilet <br /> Exhaust Hood(Type I) Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) t Water Heater ;interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential?... Wood Stove T Interceptor-SandiOil Water Service(behind meter) <br /> Forced Air Systems Other. Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/insert/Log ; Root Drains p _Water Heater <br /> SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump :- Other <br /> i�atoC ��esktn"S� ism o.o`f�fea�e . - ° <br /> �i r oai Suppression System o.of-Heads <br /> 4CKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct.Work done pursuant to this permit must comply with <br /> :went federal,state,and local law.The granting of a permitt only authorizes approved work end no deviations therefrom.Deviations must first be authorized in writing from the <br /> 3uilding 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, <br /> rnd I comply with the State Contractors Law 18.27 RCW and 298.200A WAC. <br /> City of Everett Official Ilse Oniy <br /> PER T <br /> ,2/26/18 �$t <br /> avrrterf <br /> odd Agent Sites Datfk . <br /> fl�evised;�t�t:�t%e) <br />