929 PINE ST 2020-01-30 - Laserfiche WebLink

PERMIT APPLICATIOIL 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 PROJECT SITE ADDRESS:929 PINE ST PROPERTY TAX#:00438718801301 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) OWNER NAME: HEATHER DUFFY TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: sTREET929 PINE ST cim' EVERETT STATE WA ZIP 98201 OWNER PHONE: 425-244-4471 OWNER EMAIL:HEATHER.DUFFY81 @GMAIL.COM CONTRACTOR NAME:C.M. HEATING INC CONTRACTOR ADDRESS: STREET 1415 BROADWAY cir. 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 D 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:$3500 Proposed Use of Building: Heat Source: DGas DElectric ❑Other BUILDING USE: DSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ElAccessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑✓Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: LIKE IN KIND GAS FURNACE AND WATER HEATER CHANGE OUT ASSOCIATED BUILDING PERMIT#(if applicable): Fixture Fixture Fixture Fixture Count List of Fixtures Court 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 Ventilatio —Floor Drain —Toilet Exhaust Hood(Type I) (Not Heat/AC system) S Hose Bibb —Urinal Exhaust Hood(Type II) 1 Water Heater —Interceptor-Grease —Waste/Water Piping Repair Exhaust Hood(Residential)—Wood Stove S 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 ,? , ,,,,,„ II�� f��T .,.,`�'��, 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 lam 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 x Y�. !n/t/4 04)1/ 04/11/19 PE 1r #t�O ""v o V\(�"'O Owner/Authorized Agent Signature Date (Revised 10/10/2018)