3403 W MUKILTEO BLVD 2021-06-10 - Laserfiche WebLink

• • PERMIT APPLICATION BUILDING/ MECHANICAL/ PLUMBING / SIGN /SPRINKLER! DEMOLITION +r"11� CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everelteps@everettwa.gov I www.everettwa.govlpermits ,(Blua or Black Ink Only Plsaso) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:.3403 W MUKILTEO BLVD PROPERTY TAX#:00571700600800 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: DAYNA MCCARTHY TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET3403 W MUKILTEO BLVD city EVERETT STATE WA ZIP 98203 OWNER PHONE: 206-909-4247 OWNER EMAIL:Dayna@microloansnw.com CONTRACTOR NAME:C.M. HEATING INC CONTRACTOR ADDRESS: STREET 1415 BROADWAY cin 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: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-259-0550 KAILANA CONTACT EMAIL:KAILANA@CMHEATING.COM BUILDING INFORMATION Existing Use of Building: Contract Price of Work: $14,000 Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Others BUILDING USE: DSFR ❑Townhouse ❑Dplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑✓New ©Addition ❑Remodel ❑Repair ❑T,I. ❑Sign ❑Sprinkler ❑Demolition [(Change of Use DESCRIPTION OF WORK: *MITSUBISHI HEAT PUMP INSTALLATION 1 }r,e,t 0 11 6- ( ; y am d v.-\ ASSOCIATED BUILDING PERMIT#(if applicable): trt-'t ,1/\c11"- .--'' k-i' 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 1 Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep.floor) Clothes Dryer i Heat Pump&Ductless T Dishwasher mm Sink-Residential(kitchen.bath.bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilatior Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) Water Heater Interceptor-Grease Wastes Vater Piping Repair 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 Water Heater SPRINKLER I 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 current federal,state,and local taw. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the :. 1 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, hd t comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only $ 1 n j Jam/ } ) P�E/R+MIIT(# l}tY� Y.L--rt'Y/t, !!�'GC�-`/ti os127/1 s 9f \ \ \c �/ u Owner1Authorized Agent Signature Date (Revised 10/1012098)