1628 COLBY AVE 2020-02-06 - Laserfiche WebLink

PERMIT APPLICATIONN 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 0010111010$ arraeOVE011411,WOINC*SOVitirniWraCENOSEatirRatit; PROJECT SITE ADDRESS:1628 COLBY AVE PROPERTY TAX#:00438034101900 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) °e * Y'""z. OWNER NAME: SALLY MORROW TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 1628 COLBY AVE crrr EVERETT STATE WA ZIP 98201 OWNER PHONE: 206-854-9494 OWNER EMAIL:Craighealy67@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: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-259-0550 KAI LANA CONTACT EMAIL:KAILANA@CMHEATING.COM '2,',1121AINVIECTIta k8700*E O Existing Use of Building: Contract Price of Work:$8000 Proposed Use of Building: Heat Source: OGas ❑Electric ❑Other BUILDING USE: OSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: Commercial ElAccessory Structure Type of Project: ❑New EAddition ©Remodel ©Repair ❑T.I. ❑Sign OSprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: GAS FIREPLACE INSTALLATION WITH GAS LINE TO FIREPLACE ASSOCIATED BUILDING PERMIT#(if applicable): , l tEG A cAN x '. : ' JON AtiallE803**11400Mit 01.0100110011111WAr Fixture Fixture Fixture Fixture Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures A/C—Air Handling Units i 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) Forced Air Systems Other: Medical Gas Water Valves or Fixtures 1 Gas Fireplace/Insert/Log Roof Drains Water Heater IESVStWtktt:kf;Srl0pPRE�t' 1Q !AtTM 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.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 Everett Official Use Only �( PEf / I# 1 1 V ( �/j �� 11/11/19 � Owneunzed Age1.14 Signature Date (Revised 10/1 /2018)