6929 BEVERLY BLVD 2019-10-31 - Laserfiche WebLink

PERMIT APPLICATION "111P*. BUILDING/ MECHANICAL/ PLUMBING/SIGN /SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE ADDRESS:6929 BEVERLY BLVD PROPERTY TAX#:00392801200100 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) " � � ear OWNER NAME: NORTH SOUND DEVELOPMENT TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: srREEr6929 BEVERLY BLVD ciTy EVERETT STATE WA zip 98203 OWNER PHONE: 425-582-1988 OWNER EMAIL:NA CONTRACTOR NAME:C.M. HEATING INC CONTRACTOR ADDRESS: STREET 1415 BROADWAY c�-' 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: 0 OWNER D CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-259-0550 KAI LANA CONTACT EMAIL:KAILANA@CMHEATING.COM Existing Use of Building: Contract Price of Work:$1000 Proposed Use of Building: Heat Source: DGas DElectric ❑Other BUILDING USE: DSFR ❑Townhouse ❑Duplex LIADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑✓Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: GAS PIPING TO EXISTING FIREPLACE ASSOCIATED BUILDING PERMIT#(if applicable): 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 1 Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer 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) Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater d"tata4,: db ! w � Sewage Ejector or SumpPump Other: Water Suppression SystemNo.of Heads Chemical Suppression System I 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.lam 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. 4.Z.44/14 r� City of Everett Official Use Only i C'y.L/.44/11 /'�'1O4 PERMIT'^ 02/01/19 V Y � I` Owner/Authorized Agent Signature Date (Revised 10/10/2018)