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"11011,11*- <br /> 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 I(E)everetteps@everettwa.gov I www.everettwa-gov/permits <br /> (Blow or Black Ink Only P1.1*) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:2331 MONROE AVE PROPERTY TAX#;00545002403000 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: THOMAS SHARP TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: sTREET2331 MONROE AVE <br /> crry EVERETT STATE WA ZIP 98203 <br /> OWNER PHONE: 425-404-0460 OWNER EMAIL:thomasJlee_s@hotmall.com <br /> CONTRACTOR NAME:C.M. HEATING INC <br /> CONTRACTOR ADDRESS: STREET 1415 BROADWAY <br /> cin EVERETT STATE WA zip 98201 <br /> CONTRACTOR PHONE:425-259-0550 CONTRACTOR EMAIL:KAILANA@CMHEATING.COM <br /> • <br /> CONTRACTOR LICENSE#(REQUIRED):CMHEAI*09554 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED); 016098 <br /> PRIMARY CONTACT: El OWNER D CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-259-0550 <br /> KAILANA CONTACT EMAIL:KAILANA@CMHEATING.COM <br /> BUILDING INFORMATION <br /> Existing Use of Building. .Contract Price of Work:$20000 <br /> Proposed Use of Building: Heat Source: ❑Gas Electric ❑Other <br /> BUILDING USE: DSFR ❑Townhouse EDuplex ❑ADU ❑Multi-Family-#Units' ❑Commercial EAccessory Structure <br /> Type of Project: New IIAddition ❑Remodel ❑Repair DTI, ❑Sign ❑S.rinkler ❑Demolition ❑Chan.e of Use <br /> DESCRIPTION OF WORK: AIR HANDLER AND HEAT PUMP INSTALLATION <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture List of Fixtures Fixture Fixture Fixture <br /> Count count List of Fixtures Count List of Fixtures Count List of Fixtures <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,preo,floor) <br /> Clothes Dryer 1 Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Pans(Residential) Commercial Ventilatior` 'Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) Water Heater Interceptor-Grease WasteNVater Piping Repair <br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> 1 Forced Air Systems Other. -- Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof Drains Water Heater <br /> SPRINKLER I SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression SystemNo.ofReads <br /> Chemical Suppression System I INo.of Heads <br /> r <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 <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.1 am the owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> � <br /> PERMIT <br /> +,J �Y42.4 !fK/}!`/ir/ 05/29/19 \T(\ O a-' O ql <br /> Li <br /> Owner/Authorized Agent Signature Date (Revised 10/10,2018) <br /> e <br /> i <br /> ) <br />