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PERMIT APPLICATION <br /> BUILDING /MECHANICAL/PLUMBING I SIGN /SPRINKLER/ DEMOLITION <br /> ,ao <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (F)425-257-8810 I FAX 425-257-8857 I(E)everetteps42el+ r°ettwa gov I www.everettwa.gov/permits <br /> 1.iik!lr i 7.7:g .... ,.PttOJEMeT SITD:INFORMATION.. *v.. <br /> PROJECT SITE ADDRESS:5105 WEST VIEW DR PROPERTY TAX#:00605800006000 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> w <br /> A `.•,•• •(`.ttG(` r•*„ '* <br /> ,a� .�... . ,..Ct��ITCT•LNPORMATION” ,:. � : ....; �. " ..�. �. <br /> OWNER NAME: JARED MCMAHON TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET5105 WEST VIEW DR <br /> cirx EVERETT STATE WA zip 98203 <br /> OWNER PHONE 206-941-9944 OWNER EMAIL jed.mcmahon@gmail,com <br /> CONTRACTOR NAME:C.M. HEATING INC <br /> CONTRACTOR ADDRESS: STREET 1415 BROADWAY <br /> civ EVERETT STATE, <br /> WA ziP 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: ID OWNER E l CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-259-0550 <br /> KAI LANA CONTACT EMAIL:KAILANA@CMHEATING.COM <br /> BUILDING INFORMATION <br /> _ <br /> Existin. Use of.Buildin.: Contract Price of Work:$10,000 <br /> Proposed Use of Building Heat Source: C3Gas EElectric 00ther <br /> BUILDING USE: DSFR...... Townhouse ❑Duplex ❑ADU CDMuiti-Family-#Units:,_ _.lCommerciai I:Ac essory Structure <br /> Type of Project; New Addition © � <br /> Remodel ReD . ❑ <br /> air CDT.1Sin 1:3 Sprinkler❑ Demolition DChan a of Use <br /> DESCRIPTION OF WORK: <br /> LIKE IN KIND AIR HANDLER CHANGE OUT WITH HEAT PUMP INSTALLATION <br /> 'ASSOCIATED BUILDING PERMIT#(If applicabjeeo_ <br /> •. MtCHANIC3At;,PERMITAPPU N '',PLUMBING„P:ERO1T)4PP, CAT,:ON <br /> Fixture Flxturo Fixture Fixture <br /> Count List of Fixtures count List of Fixtures List of Fixtures List of Fixtures <br /> Count Count <br /> A/C—Air Handling,Units Gas Pi•in, 'Backflow Preventer(Inside Bid! Shower,Tub,or Combo <br /> _. <br /> Boiler Gas Range Clothes Washer Sink-Commerci <br /> µ al(3-comp.rep,floor) <br /> Clothes D er i Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct y (Remodel) Refrigeration Drinking Fountain : Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilatior Floor Drain Toilet stem Remodel ' <br /> Exhaust Hood;,(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) Water Heater , _„` ty_Interceptor-Grease Waste/Water,Piping Repair <br /> Exhaust Hood Residential) Wood Stove interceptor-Sand/0i1 - 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 /> ;S RINkl„Di l SUPPRESS ON SYST*M#' Sewage Ejector or Sump Pump Other <br /> 'T"T-ern <br /> lf.-t�ppre,)+d=rY=. <br /> t° r`_ttt o."o .4ea'e <br /> hemnce)Suppression System ^No.of Leads <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 /> .Egaitctio kfl ieL store.-.•author±aid+ndex y unratan ,•4 am?lhaowrlar ori am aathorlaed-by4he-eW er,et•tid:9proof*to pa ttt vontoar;4w+{eh.nppfi ffo»-fsmade, -•,.—•,--- <br /> and I f .w)/lfl tate •otltractors Law 18.27 RCW and 298.200A WAC. <br /> Ci&of Everett Official Use Otity„ <br /> PERMIT <br /> .1( aSr <br /> oilzvzo � <br /> Ov eriAta ho °#d Agent Sig : Date (Revised 10/10/2018) <br />