3412 TULALIP AVE 2020-01-30 - Laserfiche WebLink

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 I(E)��. everetteps@everettwa.gov I www.everettwa.gov/permits . � �►±►� E�? � �> air �- � .. ��. .__ ,,. .... ,.,�,..:,.....�.. . � � . , ....,�. . t. ,,. .fir, PROJECT SITE ADDRESS:3412 TULALIP AVE PROPERTY TAX#:00437783103202 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) OWNER NAME: MARTY JENSEN TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET3412 TULALIP AVE civ EVERETT STATE WA ZIP 98201 OWNER PHONE: 425-314-2689 OWNER EMAIL:martsbadbug@gmail.com CONTRACTOR NAME:C.M. HEATING INC CONTRACTOR ADDRESS: STREET 1415 BROADWAY CITY 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 r Existing Use of Building: Contract Price of Work:$4000 Proposed Use of Building: Heat Source: OGas ❑Electric ❑Other BUILDING USE: DSFR ❑Townhouse ❑Duplex ❑ADU EMulti-Family-#Units: ['Commercial ❑Accessory Structure Type of Project: ENew ❑Addition ©Remodel ©Repair ❑T.I. ❑Sign ['Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: LIKE IN KIND GAS FURNACE CHANGE OUT ASSOCIATED BUILDING PERMIT#(if applicable): ...t. MEC /A AIIA... ,'» 1A>i' C ttO IM ..., vim, 3„ PLUMBIlNG,IRE 'r*ktO4#'tII;ON, t •fi Fbxture Fixture 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) Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) i Forced Air Systems Other: Medical Gas Water Valves or Fixtures =Gas Fireplace/Insert/Log Roof Drains Water Heater v RINKL SU;P,. 0S 1flhMS 'E,M,, , „ Sewage Ejector or Sump Pump Other: Water Suppression SystemNo.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. City of EIverett Official Use Only ly 711,04A-,11 11/19/19 PERMIn \ (ori (J Owner/Authorized Agent Signature Date (Revised 10/10/2018)