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PERMIT APPLICATION <br /> BUILDING/ MECHANICAL i PLUMBING I SIGN I SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1(E)eyeMteottgieyetstaive.goy I www.everettwa.gov/permits <br /> (Skltt or Slack Ink Only; atossoPROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:7439 BEVERLY BLVD PROPERTY TAX ii 2910896 <br /> LEGAL for new construction: Short Plat/subdivision,' Lot No, (attach copy of long legal description) <br /> • <br /> CONTACT INFORMATION,, <br /> OWNER NAME: CHELSEA GILETTE TENANT BUSINESS NAME(Commercial) <br /> OWNER MAILING ADDRESS: STREET 7439 BEVERLY BLVD <br /> cry EVERETT STATE WA ZIP 98201 <br /> OWNER PHONE: 425-280-5614 OWNER EMAIL fixinyouup@msn.com <br /> QONTRACTOR NAME,_C.M. HEATING INC . . <br /> - <br /> CONTRACTO ADDRESS: STREET 1415 BROADWAY <br /> CITY EVERETT STATE WA ziP 98201 <br /> CONTRACTOR PHONE:425-259 0550 CONTRACTOR EMAIL:KAILANA@CMHEATING.COM <br /> OQNTRACRIWR LICENSE (R QUIRED):CMHEAI*09554 CITY OF EVERETT BUSINESS LICENSE#(REQUIREDP 016098 <br /> PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-259-0550 <br /> KAILANACONTACT EMAIL:KAILANA@CMHEATING.COM <br /> BUILDING;INFORMATION <br /> xlstars ,Use of Bu[1clfig .. Contta Price of Work. 1.250a <br /> Prop ed USe 4t,Btl dir t... Heat Source: ❑Gas DElectric then 4, <br /> BUILDING USE; CISFR ❑Townhouse DDuptex ❑ADU ❑Mun Hamily-#Units:, -. ©Comnlerc)al <br /> ( tsces&s3rY Structure <br /> Typeof Pr ti ❑New ❑Addition ©Remodel EiOtstpair OT.I. ❑Sign DEPtinkler ❑Demolition Oettange.of Use <br /> DE + R1P1ION OF WORN; LIKE IN KIND AIR HANDLER AND HEAT PUMP SWAP OUT <br /> ASSOCIATED BUILDING PERMIT#{ift i itt)a" <br /> MECHANICAL PERMIT APPLICATION. PLUMBING PERMIT APP.II•CATiON <br /> FixtureFixture Fixture <br /> List of Fixtures Fixture List of Fixtures List of Fixtures List of Fixtures <br /> Count Count Count Count <br /> .A/C-Air Handling Units Gas Piping ackftowPreventer(inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas RangeClothes Washer Sink-Commercial(3 comp,prep,flocr) <br /> Clothes Dryer i Heat Pumy&Ductless Dishwasher Sink-Residential ,(kitchenbath,bar) <br /> Dud System(Remodel) Refrigeration Rdnkinq,Fountain Sinn-Utility,laundry,mop <br /> Exhaust Fans(Residential) ,Commercial Ventilator Floor Drain Toilet <br /> Exhaust Hood..(Type I) ,(Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type Ii)- 'Water Heater Interceptor-Grease WasteANater 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 /> . .... <br /> 4- <br /> SPRINKLER)SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> 'Wa r11.10Pretsion.Sof T too.of Reads <br /> Cherriipal-Suppression System, l Na of Heads w <br /> � x <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 properly to perforin the work for which application is made, <br /> and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> Pity of Everett Official.Use Oily <br /> (/� / �) PERMIT •n <br /> l.rY a.L-. Y/t/� 05/10/19 ` I / 6 <br /> Qwfe+'A .Azad Agent Signature Date eftAt t 4 f4A i i <br />