5214 W HIGHLAND RD 2019-11-14 - Laserfiche WebLink

t PERMIT APPLICATION I BUILDING / MECHANICAL/ PLUMBING /SIGN I SPRINKLER I DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 --- (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps©everettwa.gov i www.everettwa.gov/permits t Moo or Black ink Only Pleas.) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:5214 W HIGHLAND DR PROPERTY TAX#:00471900000300 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION `OWNER NAME: JOHN MINKS TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET5214 W HIGHLAND DR crre EVERETT STATE WA ZIP 98201 OWNER PHONE: 425-353-1125 OWNER EMAIL:Minks] gmail.com CONTRACTOR NAME:C.M. HEATING INC CONTRACTOR ADDRESS: STREET 1415 BROADWAY carr 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: ❑OWNER El CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425 259 0550 KAI LANA CONTACT EMAIL:KAILANA@CMHEATING.COM BUILDING INFORMATION Existing Use of Building: Contract Price of Work:$5000 Proposed Use of Building: Heat Source: ❑Gas (]Electric ❑Other BUILDING USE: OSFR Townhouse ❑Duplex EADU ❑Multi-Family-#Units: ECommercial ❑Accessory Structure Type of Project: ❑New EAddition ❑Remodel LL,Repair DTI. ❑Sign ❑Spunkier ❑Demolition ❑Change of Use DESCRIPTION OF WORK: LIKE IN KIND AIR HANDLER CHANGE OUT WITH HEAT PUMP SWAP OUT ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Figure Fixture Fixture Count List of Fixtures corns List of Fixtures Count List of Fixtures Count List of Fixtures NC—Air Handling Units 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) 1 Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER,/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other. Water Suppression System No.of Heads Chemical Suppression System 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. City of Everett Official Use Only � PERMI # 7 '(1 1/— ,t24 71104 05/14/19 05 D 5R Owner/Authorized Agent Signature Date (Revised 10/10018 v 1 r