1902 HOWARD AVE 2020-03-09 - Laserfiche WebLink

PERMIT APPLICATION BUILDING / MECHANICAL/ PLUMBING I SIGN / SPRINKLER/ DEMOLITION _ CITY OF EVERETT PERMIT SERVICES No ..(0. 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.govlpermits (Blues or Black Ink Only Pless.) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:1902 HOWARD AVE PROPERTY TAX#:00544700400800 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: JUDY EDWARDS TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 1902 HOWARD AVE crry EVERETT STATE WA ZIP 98203 OWNER PHONE: 425-265-9770 OWNER EMAIL:staceycole81@gmail.com CONTRACTOR NAME:C.M. HEATING INC CONTRACTOR ADDRESS: STREET 1415 BROADWAY cry 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 BUILDING INFORMATION Existing Use of Building: _Contract Price of Work:$4700 Proposed Use of Building: Heat Source: ❑Gas OElectric ❑Other_ ElUILDING USE: OSFR ❑Townhouse ❑Duplex ❑ADU EMulti-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition L✓IRemodel ❑Repair CIT.!. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: SINGLE ZONE DUCTLESS INSTALL ASSOCIATED BUILDING PERMIT#(if apelicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures court List of Fixtures Count List of Fixtures Count List of Fixtures A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer 1 Heat Pump&Ductless 7 Dishwasher Sink-Residential(kitchen,bath.bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilatiorf Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) Water Heater Interceptor-Grease WasteNVater Piping Repair . T Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) Forced Air Systems Other: _ Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Y Water Heater SPRINKLER/SUPPRESSION SYSTEM 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 a 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 1 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 ROW and 296 200A WAC. �r �f 1 7� City of Everett Official Use Only 7<4 V 1/. i t PERMIT/1 0 0((i— O57) ` . r � C'`� osilsits ,OwnerlAuthortzed Agent Signature Date (Revised /0/10/2018) 1 1