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PERMIT APPLICATION <br /> #411)--fr 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 www.everettwa.gov/permits <br /> PROJECT SITE ADDRESS:1915 23RD ST PROPERTY TAX#:00439147601702 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> enki7La <br /> Ra ..�,.ax ...�. �.:�-__,_.,. ��.. ,i,. - zn'a.Y._xA:�... ,__ - ._x n...,: C'� az,..::, a a., ur...., l <br /> OWNER NAME: REAL PROPERTY MGMT TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET3201 BROADWAY SUITE D <br /> crry EVERETT STATE WA zip 98201 <br /> OWNER PHONE: 425-903-8500 OWNER EMAIL:kellys@rpmnps.com <br /> CONTRACTOR NAME:C.M. HEATING INC <br /> CONTRACTOR ADDRESS: STREET 1415 BROADWAY <br /> carr EVERETT STATE WA Z1P 98201 <br /> CONTRACTOR PHONE:425-259-0550 CONTRACTOR EMAIL:KAILANA@CMHEATING.COM <br /> CONTRACTOR LICENSE#(REQUIRED):CMHEAI*09554 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 016098 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-259-0550 <br /> KAI LANA CONTACT EMAIL:KAILANA@CMHEATING.COM <br /> Existing Use of Building: Contract Price of Work:$4000 <br /> Proposed Use of Building: Heat Source: DGas ❑Electric ❑Other <br /> BUILDING USE: ✓❑SFR ❑Townhouse ❑Duplex ❑ADU OMulti-Family-#Units: ❑Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ©Remodel ©Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> GAS FIREPLACE REPLACEMENT <br /> ASSOCIATED� BUILDING PERMIT#(if applicably: <br /> 1-1 yy1$‘1004-MAAMO*10014414:1101150 <br /> Mentraii****4001000K1001.:0101M•Wel <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures 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,prep,floor) <br /> Clothes Dryer _Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(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 Waste/Water Piping Repair <br /> _Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> 1 Gas Fireplace/Insert/Log Roof Drains Water Heater <br /> kartiii* /', `►,,,,ate __001044 Y E Sewage Ejector or Sump Pump Other: <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System I No.of Heads <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.lam 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 /> <aC`NI/ A �/},4 711-0421 11/27/19 PERiM,N`ok` <br /> \� <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br />