2114 OAKES AVE 2021-08-27 - Laserfiche WebLink

477- • PERMIT APPLICATIO. BUILDING / MECHANICAL/ PLUMBING /SIGN / SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Plus.) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:2114 OAKES AVE PROPERTY TAX#:00439143702500 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: MAISIE VAN VACTOR TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 2114 OAKES AVE ciTv EVERETT STATE WA ZIP 98201 OWNER PHONE: 206-972-3156 OWNER EMAIL:maisiemvv@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 ❑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: $7000 Proposed Use of Building: Heat Source: ❑Gas DElectric ❑Other BUILDING USE OSFR Townhouse ❑Duplex LIADU ❑Multi-Family-#Units: _ Commercial ❑Accessory Structure Type of Project: New Addition ❑✓Remodel ❑✓Repair ❑T.l. Sign Sprinkler Demolition Change of Use DESCRIPTION OF WORK: LIKE IN KIND GAS FURNACE CHANGE OUT 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 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 Heat Pump&Ductless Dishwasher 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 Waste/Water Piping Repair Exhaust Hood(Residential) Wood Stove _Interceptor-Sand/Oil Water Service(behind meter) I Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains 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 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 I 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 RCW and 296.200A WAC. City of Everett Official Use Only `� � 11/05/19 O\. Owner/Authorized Agent Signature Date (Revised 10/10/2018)