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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/ PLUMBING/SIGN /SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> j 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps©everettwa,govl +averettu < ov/permits <br /> Mks*or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:5606 HIGHLAND RD PROPERTY TAX if:00471800003200 <br /> LEGAL for new construction: Short Plat/subdivision . Lot No, (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: BRIAN BARHANOVICH <br /> TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET5606 HIGHLAND RD <br /> can EVERETT STATE WA zip 98203 <br /> OWNER PHONE: 425-870-9027 <br /> OWNER EMAIL:barhanb@gmail.com <br /> ,. <br /> CONTRACTOR NAME:C.M. HEATING INC <br /> CONTRACTOR ADDRESS: STREET 1415 BROADWAY <br /> an EVERETT STATE WA DP 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: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) , <br /> CONTACT NAME: CONTACT PHONE:425-259-0550 <br /> KAI LANA CONTACT EMAIL:KAILANA@CMHEATING.COM <br /> BUILDING INFORMATION <br /> Existing Use of Building: Contract Price of Work:,$9550 <br /> Proposed Use of Building: Heat Source: ❑Gas DElectric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Du$lex ❑ADU ❑Multi-Earrlll -#Units: OCommercial LiAcceSs0 Structure <br /> Type of Project; ❑New ©Addition ©Remodel I1Repalr ❑T.I. ❑Burr ❑Sprinkler ❑Demolition ❑Change of Use <br /> DES RIPTION'OF WORK: LIKE IN KIND AIR HANDLER CHANGE OUT WITH HEAT PUMP INSTALLATION <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATIONPLUMBING PERMIT APPLICATION <br /> FixtureFixture Fixture F/Xtu►e <br /> Count List of Fixtures coup: List of Fixtures Count List of Fixtures Count List of Fixtures <br /> NC—Ar Handling"Units , Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,:;or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-eomp,prep floor), <br /> Clothes Dryer ` i Heat Pump&Ductless:. Dishwasher... <br /> ishwashers Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel Refrigeration Dunkin. Fountain Sink-Utility,laundry,mop <br /> LExhaust Fans(Residential) Commercial Ventilatior Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) .Water Heater Interceptor-Grease 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 W_. !Water Heater <br /> N <br /> SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppressicn%Vern No,of Heads..,_ <br /> r . - <br /> Chemical St#Vresailac Sy No.df 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,I am the owner,or lam 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 WAG <br /> Oily of Everett Official Use Orily <br /> #\ ) I <br /> . d, <br /> y. , <br /> 10/02/19 PEf D— 0� ' <br /> Owner/Authorized Agent Signature Date: (f?evtse 1,0/14 2018,) <br />