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00000.,„.. PERMIT APPLICATION
<br /> ,,,,,-0•"0477—"A BUILDING/MECHANICAL/PLUMBING!SIGN/SPRINKLER!DEMOLITION
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET,EVERETT,WA 98201
<br /> (P)425-257-8810 1 FAX 425-257-8857 1(E,)evenattegsgtevemttwa goy 1 www.everettwa,govipermits
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<br /> 1;41,..q SITE ADDRESS:2215 MAIN ST [PROPERTY TAX#:00500301800600
<br /> LE GAL for new construction: Short PhatIstibcgvislork, Lot No. (attach copy of long legal description)
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<br /> OWNER NAME: ANDREW DAVIDSON TENANT BUSINESS NAME(Commercial):
<br /> OWNER MAILING ADDRESS: STREET 2215 MAIN ST
<br /> crry EVERETT STATE WA ZIP 98203
<br /> OWNER PHONE 715-781-4184 ,•
<br /> OWNER EMAIL rubbersideupv7wygrnail.com
<br /> CONTRACTOR NAME:CM. HEATING INC
<br /> 40NTPACTOR ADDRESS; STREET 1415 BROADWAY .,
<br /> my EVERETTSTATE WA zip 98201
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<br /> CONTRACTOR PHONE:425-259-0550 le0t4TRACTOR EMAIL-KAILANA©CMHEATING.COM
<br /> I ONTRAOTOR LICENSE ii4fitQUIRED);CMHEAI*09554 CITY OF EVERETT BUSINESS LICENSEARE(101REDIV 016098.1
<br /> PRIMARY CONTACT: 0 OWNER CI CONTRACTOR CI OTHER(Please Specify) .,
<br /> CONTACT NAME: CONTACT PHONE:425-259-0550 ..
<br /> KAILANA CONTACT EMAIL:KAILANA@CMHEATING.COM
<br /> IP,,,f?li.,,-11:ii7;I:ORZiKSIk',".•it::7:44;;.:114.411t-till#G7401
<br /> existinq Use of BuildinIsCOINICt,P40of Work:415,
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<br /> ProO0sed Use of Building: Heat Source: EfiiiGas IPEie.gtriC 130ther .,
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<br /> !WING USE OSFR I1Townhoose 0Doples IDAI:)U r3k441B-Falttihr-#Units: , pCommercial LIAncesso Structure ....
<br /> of Project: ONew OAddition IZiRemodel EIROPair EIT.I. E:ISVrt t:3Spfinider 00 .litidn 00hange Of Ustit -:
<br /> 0,ESCRIPTION OF WORK: LIKE IN KIND GAS FURNACE CHANGE OUT WITH HEAT PUMP INSTALLATION AND DUCTWORK
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<br /> ASSOCIATED BUILDINGPERMIT#tit apdtloblet .--
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<br /> -77,:41,v14:1 Tri'rrrITHITTT:e, 1tz74.P.Pg flftli.*Itli. , 77::ilf:,APPLABAIION -
<br /> Fixture Fixture ' '' ' Fittire Fixture '
<br /> Ust of Fixtures List of Fixtures Ust of Fixtures List of Fixtures .A.••••
<br /> Count Count Count Count
<br /> • C-Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub.or Combo .,
<br /> Boiler Gas Ran.e Clothes Washer Sink-Commercial 3-corn.,•re•floor
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<br /> Clothes Dryer i Hee Pump&Ductless Dishwasher Sink-Residential(kitchen bath,bar) ---
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<br /> Duct System,(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop --0
<br /> Exhaust Fans Residential ommercial Ventrlatio Floor Drain Toilet _
<br /> 111
<br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal
<br /> Exhaust Hood(Type II) Water Heater Interceptor-Grease asteNVater Piping Rehr --
<br /> Exhaust Hood(Residential) cod Stove Interceptor-Sand/Oil Water Service(behind meter)
<br /> ..., i Forced Air Systems Other: Medical Gas Water Valves or Fixture11.
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<br /> 7 Gas Fireplace/Insert/Lo! Roof Drains Water Heater
<br /> ,.'- , .. Eipii:tit Sewage Ejector or Sump Pump Other
<br /> ater uppression System 'o.offi-ea-cis _
<br /> Chemical Suppression System No.of Heads
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<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 1;
<br /> Building Official before being authorized under any circumstance.lam 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 liCW and 296.200A WAC.
<br /> priy of Everett Official Use On
<br /> PERMIT
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<br /> 05/06/19 1.444i4 -70-te)iti. 4 v\lNc1()s
<br /> IlivrterlAUtharized Agent Signature ', Doke <OW*
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