2028 MCDOUGALL AVE 2020-01-30 - Laserfiche WebLink

eillij-4 PERMIT APPLICATION BUILDING/ MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits 030. iiia *ra+kin~ WAASO *10#0R;I 1010,j, .. n .. ,. , ` ' .1,.. PROJECT SITE ADDRESS:2028 MCDOUGALL AVE PROPERTY TAX#:00437941901900 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) OWNER NAME: TONY LARSON TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: sTREET2028 MCDOUGALL AVE ciTr EVERETT STATE WA Zip 98201 OWNER PHONE: 425-344-9336 OWNER EMAIL:tonylarson@outlook.com CONTRACTOR NAME:C.M. HEATING INC CONTRACTOR ADDRESS: STREET 1415 BROADWAY ciTr 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: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-259-0550 KAI LANA CONTACT EMAIL:KAILANA@CMHEATING.COM Existing Use of Building: Contract Price of Work:$1500 Proposed Use of Building: Heat Source: ❑Gas DElectric ❑Other BUILDING USE: DSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial accessory Structure Type of Project: ❑New ❑Addition ©Remodel ©Repair ❑T.I. ❑Sign OSprinkler DDemolition ❑Change of Use DESCRIPTION OF WORK: 50 GALLON ELECTRIC WATER HEATER INSTALLATION ASSOCIATED BUILDING PERMIT#(if applicable): . , tC)I I!III!C 0004100400tO1 '.... s 'v ..v.t: > BIN 9!ttt4 R*A0Rri_ nag e FixtureFixture Fixture Fixture Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures A/C—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) 1 Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater �'� 3 6`°0 � 933 ws„< . ,�?� _��Fft�� , ,,,�,� ,7,��®�,��; „�,,„,ni,,,, ,,,.`, Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System I 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.I am 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. l �A0/(21 . l City of Everett Official Use Only cfL44/4 1.0/(2PERM ��12_6L4c 12/12/19 Owner/Authorized Agent Signature Date (Revised 10/10/2018)