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PERMIT APPLICATION <br /> 000111111,— BUILDING /MECHANICAL I PLUMBING /SIGN/SPRINKLER 1 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)everettepslteYefettwa goV I www•eyere wa govtpermits <br /> ,, ', s'as o .r -�, e "U.'4 '\''' "i 67 S ' ' 41' , <br /> Blue'air•Black.InkOln It easu ,,PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS.7718 MERIDIAN AVE PROPERTY TAX#:00695000000900 <br /> LEGAL for new construction: Short; ibtllvtision Lot No. (attach copy of long legal description) <br /> r w <br /> Cf t4tAG' IPOs MATIO* ''-':.!,,t,i'',..,--;,--, -.4/'w -' ,.OWNER NAME: ALYSON YELENICH TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: srREET7718 MERIDIAN AVE <br /> civ EVERETT STATE WA ZIP 98203 <br /> OWNER PHONE: 425-238-6658 OWNER EMAIL: <br /> CONTRACTOR NAME:C.M. HEATING INC <br /> CONTRACTOR ADDRESS: STREET 1415 BROADWAY <br /> cnv EVERETT STATE WA ZIP 98201 <br /> CONTRACTOR PHONE:425-259-0650 CONTRACTOR EMAIL:KAILANA©CMHEATING.COM <br /> CONTRACTOR LICENSE.#(REQUIRED):CMHEAI*09554 JCITY OF EVERETT BUSINESS LICENSE#(REQUIRED 016098', <br /> PRIMARY CONTACT: 0 OWNER D CONTRACTOR 0 OTHER(Please Specify) , ... <br /> CON ACT NAME: CONTACT PHONE:425-259-0550 <br /> Kik!LANA CONTACT EMAIL:KAILANA©CMHEATING.COM <br /> BUILDING INFORMATION ,T 4<4 <br /> Existin. Use of Buildin. Contract Price of Work:$12500 <br /> Proposed Us e of Building: Heat Source: CIGas . IDElectric .... DOther <br /> BUILDING USE: ❑+SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> DESCRIPTION OFWORK:Type of Project: ©Addition ❑Remodel ❑Reeair DTI OSign ❑Sprite nkler ❑Demolition ❑Change of Use <br /> LIKE IN KIND FURNACE REPLACEMENT WITH HEAT PUMP INSTALLATION <br /> SOCIATED BUILDING PERMIT#(lI"app le): <br /> MECHANICALPERMIT, <br /> APf+LICAT'ION 4 , PLUMBINGiPERMrT°'/4I �� 04TN - <br /> Fixture Fixture Fixture Fixture <br /> List of Fixtures List of Fixtures Count List of Fixtures Count List of Fixtures <br /> Count count „,., <br /> A/C Air Handling Units Gas Piping ,• Backflow Preventer(Inside Bldg) ` Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer i Heat Pump&Ductless wDishwasher Sink-Residential tkitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration... , Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential "' Commercial Ventilatior Floor Drain Toilet <br /> Exhaust Hood(Type l) 44Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type 19 Water Heater Interceptor-Grease W: Waste/WaterPiping Repair <br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> i Forced Air Systems Other:" Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof Drains Water Heater <br /> SPRINKLER 1,SUPPRESSIONSYSTEM �: Sewage Ejector or Sump Pump Other: <br /> Water Suppression Mete r iso.of'leads �' <br /> C l llge irin u$stile. 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.lam 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 298.200A WAC. ,-, <br /> Cl/j!:of Everett Official Use atte <br /> PERMIT ••f <br /> j7►O/t�rr�r.r��� <br /> 4 d 01/10/19 IR I /il�m <br /> Owner/Authotizecf Agent SignatureDate ("f amrlsett ft7fitt/2#f i <br /> D)� 3 <br /> i <br />