1620 RUCKER AVE 2020-01-30 - Laserfiche WebLink

PERMIT APPLICATION , 'op. BUILDING / MECHANICAL I PLUMBING / SIGN /SPRINKLER/ DEMOLITION CITY OF EVERETTPERMITSERVICES--- a 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 l(E)everetteps@everettwa.gov I www.everetlwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:1620 RUCKER AVE PROPERTY TAX#:00438034302300 LEGAL for new construction: Short Pladsubdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: STEVE GEHO TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 1620 RUCKER AVE cir EVERETT STATE WA ZIP 98201 OWNER PHONE: 425-293-7211 OWNER EMAIL:steve.geho@gmail.com CONTRACTOR NAME:C.M. HEATING INC CONTRACTOR ADDRESS: STREET 1415 BROADWAY cin. 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 I]CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-259-0550 t KAILANA CONTACT EMAIL:KAILANA@CMHEATING.COM BUILDING INFORMATION Existing Use of Building: Contract Price of Work:$1o,000 Proposed Use of Building' Heat Source: ❑Gas DElectric ❑Other BUILDING USE: DSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Famil -#Units: ❑Commercial DAccessor Structure Type of Project: ❑New .?Addition ❑Remodel DRepair DTI, [-)Sign DSprinkter ❑Demolition ❑Change of Use DESCRIPTION OF WORK: 3 ZONE DUCTLESS HEAT PUMP INSTALL ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION lFixture Fixture Cou n List of Fixtures came List of Fixtures Count List of Fixtures Count List of Fixtures NC-Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo i``` Boiler Gas Range Clothes Washer Sink-Commercial 3-com 'r 9 ( p.prep,floor) Clothes Dryer _ 1 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) 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/InserULog Roof Drains Water Heater SPRINKLER I SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: �I{a�erSuppression SystemNo.of Heads Chemical Suppression System INo.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 `currant 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 13ut1ding 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, nd I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. L City of Everett Official Use Only �/,] / �j �A,J/� 1 PERMI # r` l�1'�' .4.-..t'f ?4 l'7LC-.�."A 07/29/19 " \,R OCZ..--62-/ Owner/Authorized Agent Signature Date (Revised 10/1012018) 1 d ) 1