4709 GARDNER AVE 2020-03-06 - Laserfiche WebLink

PERMIT APPLICATION elliii .-2--. ... BUILDING /MECHANICAL/ PLUMBING I SIGN /SPRINKLER i DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 l(E)everettepsieverettwa.gov I www.everetiwa.gov/permits (Blue or Black ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:4709 GARDNER PROPERTY TAX#:00417400002900 LEGAL for new construction: Short Plat/subdivision i Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: JACK PRAINO TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET4709 GARDNER AVE cov EVERETT STATE WA zip 98203 OWNER PHONE: 206-849-9536 OWNER EMAIL:esadeta@comcast.net CONTRACTOR NAME:C.M. HEATING INC CONTRACTOR ADDRESS: STREET 1415 BROADWAY city EVERETT STATE WA 2ip 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 ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-259-0550 KAI LANA CONTACT EMAIL:KAILANA@CMHEATING.COM BUILDING INFORMATION Existing Use of Building. Contract Price of Work:$9500 Proposed Use of Building: Heat Source: OGas OElectric ❑Other BUILDING USE: DSFR EiTownhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: LiNew EIAddition ❑Remodel i ❑✓Repair ❑T.I. ❑Sign USprinkler ❑Demolition ❑Change of Use iii DESCRIPTION OF WORK: LIKE IN KIND GAS FURNACE CHANGE OUT WITH HEAT PUMP INSTALLATINO ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures count List of Fixtures Count List of Fixtures Count List of Fixtures NC—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub.or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep.floorl Clothes Dryer 1 Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath.bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilation Floor Drain Toilet alli Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Water Heater Interceptor-Grease WastelWater Piping Repair Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil MI Water Service(behind meter) I Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER 1 SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Othor. 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 tam authorized by the owner of this property to perform the work for which application is made. and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAG. City of Everett Official Use Only �(J //// �j 7��j/} / PER MIT# - �"`Y/_-+<Y/Vx ifi.0 2 07/12119 OA —OCt Owner/Authorized Agent Signature Date (Revised 10/10/22016) i i