|
PERMIT APPLICATION
<br /> BUILDING/MECHANICAL/ PLUMBING I SIGN I SPRINKLER/DEMOLITION
<br /> Notic.iCITY OF EVERETT PERMIT SERVICES
<br /> ' 3200 CEDAR STREET,EVERETT,WA 98201
<br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everettepsataverettwa.govi www.everettwa.gov/permits
<br /> Pilitli.lamrgilfillnk ttNroit :.
<br /> PROJECT SITE 2„5 A ,-s--. PROPERTY TAX#:
<br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description)
<br /> !*': ' ,i•'4 \c4f/CONTA ATI ON ; .. !"
<br /> OWNER NAME: WILLIAM MARTIN TENANT BUSINESS NAME(Commercial):
<br /> OWNER MAILING ADDRESS: STREET425 ALDER ST
<br /> crry EVERETT STATE WA zip 98203
<br /> OWNER PHONE: 425-268-7374 'OWNER EMAiL:bifhecougar'nUU@}f1.ott: JfrC
<br /> CONTRACTOR NAME:C.M. HEATING INC
<br /> CONTRACTOR ADDRESS: STREET 1415 BROADWAY w
<br /> r
<br /> CITY EVERETT STATE WA ZIP 98201 `°
<br /> .
<br /> CONTRACTOR PHONE:425-259-0550 CONTRACTOR EMAIL:KAILANA@CMHEATING.COM '"M
<br /> CONTRACTOR•LICENSE*REQUIRED):CMHEAI*09554 CITY OF EVERETT BUSINESS LICENSE#(REQUIREf): 016098
<br /> a. . ,. ..x_. .w .r
<br /> .PRIMARY CONTACT: ❑OWNER D CONTRACTOR 0 OTHER(Please Specify) -,
<br /> Q .,
<br /> CONTACT NAME: CONTACT PHONE:425-259-0550 '..
<br /> -KA ILANA CONTACT EMAIL:KAILANA@CMHEATING.COM .
<br /> �� ,4N,V.���'•..k... _ ...✓,.,,'')41,,,„4,:k 4.tt%T� iI#UiLiiaiiiiNrtoriII)lAott.•y \ .,_.� z&�'�x��.,` . \���\�,,y :. 5..,1 ;+
<br /> Existing Use of Building., Contract Price of Work:$10400
<br /> Proposed Use of Building: )Heat Source: ❑Gas ❑Electric ❑Other
<br /> ,r
<br /> BUILDING USE: DSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units:,,,_, ❑Commercial ❑Accessory Structure
<br /> Type of Project: ONew DAddition ©Remodel ©Repair DTI. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use,
<br /> DESCRIPTIONOFWORK: LIKE IN KIND FURNACE CHANGE OUT WITH HEAT PUMP INSTALLATION --s"
<br /> ASSOCIATED BUILDING PERMIT#Sit agplicabwe)t r. ., NC—Air Handlin• Units Gas Pk i • Backflow Preventer Inside Bld• Shower
<br /> ',1,44 lmkeliANIcACoglevillr•APPLICAllok 4 Ric: '''Cr';',f''''14`''',lc o'''!i;AIRLAPIMOIN cl;I:::7,7APPLIICATIO_1::Arit'''" ..
<br /> 'Fixture Fixture Fixture Fixture
<br /> Ust of Fixtures Ust of Fixtures Ust of Fixtures List of Fixtures .
<br /> 7 Count count Count Count —
<br /> . or Combo
<br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor)
<br /> Clothes Dryer i Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar)
<br /> Duct System(Remodel) Refrigeration Drinkin;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) Water Heater Interceptor-Grease Waste/Water Piping Repair ~»-
<br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter)
<br /> 1 Forced Air Systems Other: Medical Gas Water Valves or Fixtures
<br /> Gas Fireplace/Insert/Log Roof Drains Water Heater
<br /> RSP "-f. i RE$$ ON YS1EM n .; . Sewage Ejector or Sump Pump Other
<br /> ater tuppression System ' °.of Heads
<br /> Chemical Suppression System I No.ofHeads
<br /> .4010/t?tNt.EDOE 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 /> :am*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 /> uilding 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 /> nd i comply with the State Contractors Law 18.27 RCW and 298.200A WAC.
<br /> of Everett Official Use Only:
<br /> PERMI
<br /> r 71, , 06/13/19h \R nCf D
<br /> 4& ...
<br /> ,..
<br /> Owner/Authorized Agent Signature Date (RdvtSed/0/1012063)
<br />
|