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125 E BEECH ST 2019-10-30
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125 E BEECH ST 2019-10-30
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Last modified
10/30/2019 3:50:56 PM
Creation date
10/30/2019 3:50:50 PM
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Address Document
Street Name
E BEECH ST
Street Number
125
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PERMIT APPLICATION <br /> 1411P. BUILDING/ MECHANICAL/ PLUMBING/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 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> 9 4 ra � �- �ig ,u� �� <br /> PROJECT SITE ADDRESS:125 EAST BEECH ST PROPERTY TAX#:00371400003700 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER NAME: DAVE PUTSCH TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: sTREEr 125 EAST BEECH ST <br /> crry EVERETT STATE WA ZIP 98206 <br /> OWNER PHONE: 425-283-3122 OWNER EMAIL:putsch97@gmail.com <br /> CONTRACTOR NAME:C.M. HEATING INC <br /> CONTRACTOR ADDRESS: STREET 1415 BROADWAY <br /> cm, EVERETT STATE WA zip 98201 <br /> CONTRACTOR PHONE:425-259-0550 CONTRACTOR EMAIL:KAILANA@CMHEATING.COM <br /> CONTRACTOR LICENSE#(REQUIRED):CMHEAI*09554 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 016098 <br /> PRIMARY CONTACT: 0 OWNER El CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-259-0550 <br /> KAI LANA CONTACT EMAIL:KAILANA@CMHEATING.COM <br /> u.� <br /> ;:a ....<..a�. ..,.,.,.,. ,,,,,.,,...,., „ „<x'`^��`�.,..*,�,\;;.......... k .,�o_ :.mom ....✓u.,w .x��Gi✓Y.. ..... .......... ...a r, hi ...,... <br /> Existing Use of Building: Contract Price of Work:$1400 <br /> Proposed Use of Building: Heat Source: DGas DElectric DOther <br /> BUILDING USE: DSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ElAccessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ©Repair ❑T.I. ❑Sign ESprinkler ElDemolition ❑Change of Use <br /> DESCRIPTION OF WORK: LIKE IN KIND ELECTRIC WATER HEATER SWAP OUT <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> F 9 gg 9� F qq <br /> iYi l <br /> ._ ac'.n .. a i13=11 ( ^9 a 9 T>T 0 <br /> Fixture Fixture Fixture Fixture <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 /> Boiler _Gas Range —Clothes Washer —Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer —Heat Pump&Ductless Dishwasher —Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) —Refrigeration —Drinking Fountain —Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilatio —Floor Drain —Toilet <br /> Exhaust Hood(Type I) -(Not Heat/AC system) —Hose Bibb —Urinal <br /> Exhaust Hood(Type II) 1 Water Heater —Interceptor-Grease —Waste/Water Piping Repair <br /> Exhaust Hood(Residential)—Wood Stove —Interceptor-Sand/Oil _Water Service(behind meter) <br /> Forced Air Systems —Other: —Medical Gas —Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log —Roof Drains —Water Heater <br /> ui! ,,,S $�� _Sewage Ejector or Sump Pump _Other: <br /> Water Suppression System —No.o Heads <br /> Chemical Suppression System —No.of Heads <br /> 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 <br /> 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 <br /> Building Official before being authorized under any circumstance.1 am the owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> ',��,(7J,`��/� 001.^ <br /> Owner/Authorized L4at�/Signature <br /> (Revised10/10/2018) 0 . <br />
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