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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I ww;v.everett govlperrnits <br /> (S#Ml1li r Bilack lIS . 'XPi ',9"'----4s,. PROJECT SIT 11i1FORMATI'..." -, , <br /> PROJECT SITE ADDRESS:3420 FEDERAL AVE PROPERTY TAX#:00437582902500 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> " ! <br /> --;;Mt.' <br /> ....,.. ., -� <br /> _�" � � t� :.. CONTACT iNF©RMAtIbN A:.,w.` 5 .. AY��f <br /> OWNER NAME: ALAN HECK TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET3420 FEDERAL AVE <br /> crry EVERETT STATE WA zip 98201 <br /> OWNER PHONE: 610-999-7950 OWNER EMAIL:ajan.e.heck@gmail.com <br /> CONTRACTOR NAME:C.M. HEATING INC <br /> CONTRACTOR ADDRESS: STREET 1415 BROADWAY <br /> cmc EVERETT STATE WA ZIP 98201 <br /> CONTRACTOR PHONE:425-259-0550 [CONTRACTOR EMAIL:DEBBIE@CMHEATING.COM <br /> CONTRACTOR LICENSE#(REQUIRED):CMHEAI*09554 'CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 016098,: <br /> PRIMARY CONTACT: ❑OWNER I:I CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-259-0550 <br /> DEBBIE CONTACT EMAIL:DEBBIE@CMHEATING.COM <br /> te °As ., ,, <br /> BIJIILDf+IGIINi'ORMATii?I 3 .... <br /> Existing Use of Building: Contract Price of Work:$12000 <br /> , <br /> Pfppof Use of Building; Heat Source: MSS ❑Electric ❑Other ` <br /> BUILDING USE: OSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: „ DCommercial ❑Accessory Structure <br /> Type of Project: ONew EAddition WIRemodei ERepair DTI. ❑Sin ❑Sprinkler ❑Demolition ❑Change of Use <br /> , ESCRIPTION OF WORK: DUCTLESS HEAT PUMP INSTALL 9 <br /> ASSOCIATED BUILDING PERMIT#(if'applicable)' <br /> MECHANiCAOPSRMIT-APPLICATION� :=,.. .. ,a #N4 11-iyPaU11iIikkO4iS'Rmi1'1T ,. i'�� lLkT-SN <br /> Fixture Fixture Fixture f=ixture <br /> List of Fixtures List of Fixtures List of Fixtures List of Fixtures <br /> Count Count Count Collet e <br /> A/C—Air Handling Units....... Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer I Heat Pump&Ductless _ Dishwasher Sink-Residential(Kitchen,bath,bar) .. <br /> g. Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> . Exhaust Fans(Residential) Commercial Ventilatior Floor Drain Toilet <br /> , Exhaust Hood(Type I) 1 ,(Not <br /> Exhaust Hood(Type II). Water HHeat/AC tercep <br /> system) `nHose tor-Grease � <br /> Waste/Water Piping Repair <br /> a" Exhaust Hood(Residential Wood Stove interceptor-Sand/Oil Water Service behind meter), <br /> Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof Drains Water Heater <br /> M RPRINKILER SUPPRESSIt N:SYSTEMS a Sewage Ejector or Sump Pump Other: <br /> Vifaterbuppression Systemo,o Heeds ' ' <br /> " <br /> Chemical Suppression System I 1No.of Heads <br /> 0 <br /> 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 4, <br /> 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 , <br /> 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, <br /> and/comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> GIty of Everett Official Use Only: <br /> PERMIT# <br /> K,</Cii-.e44 4 ? 242 06/17/19 <br /> v�( °kc ( — OS <br /> Owner/Authorized Agent Signature Date iIR vMed 10011 £348) <br /> 4T <br /> t' <br /> 1 <br />