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• • <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING I SIGN/SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> '(P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I vvww.everettwa:govipermtts <br /> cII a+ 0 III: ll nix."Oliff Pius 1 PRO J PTr SIB f IF ll IVtA to r _ -- ;. __ -ri,. <br /> PROJECT SITE ADDRESS 6222 BEVERLY BLVD PROPERTY TAX#:00527100002000 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> .n,. . CONTACY INFORMA.ATION..,:, <br /> OWNER NAME: EMANUEL CHAUDHRY TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: sTREET6222 BEVERLY BLVD <br /> crry EVERETT STATE WA _ ZIP 98203 <br /> -. - <br /> OWNER PHONE: 425-355-2092 OWNER EMAIL KAILANA@CMHEATING.COM <br /> CONTRACTOR NAME:C.M. HEATING INC <br /> CONTRACTOR ADDRESS: -•-•sTREET1415 BROADWAY <br /> crrr EVERETT STATE WA zip 98201 ..- <br /> CONTRACTOR PHONE:425-259-0550 CONTRACTOR EMAIL:KAILANA@CMHEATING.COM <br /> CONTRACTOR LICENSE#REOUIRED):CMHEAI*0955401609.& <br /> ( CITY OF EVERETT BUSINESS LICENSE#(FEQUtREIa}: <br /> PRIMARY CONTACT: 0 OWNER Q CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-259-0550 <br /> ` AI LANA CONTACT EMAIL:KAILANA©CMHEATING.COM . <br /> BUILDINO'INFORMATION <br /> _Existing Use of Building:: Contract Price of Work:$5000 ^ <br /> proposed'Use of Siiildlt±:. Heat Source: ©Gas DElectric ❑Other °,_ <br /> BUILDING USE: .E!SF5R DTownhouse ❑Duplex EADU ❑Multi-Family-#,Units; ....00ommercial DAccessoryStructure <br /> Type of Project: ®New QAddition © ERemodel Re air DT.L DSign DSprinkler ❑Demolition DChange of Use ,•, <br /> DESCRIPTION OF WORK: <br /> SINGLE ZONE DUCTLESS INSTALLATION 3. <br /> r <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION. PLUMBING PERMIT;APPLICATION <br /> 1.Fixture >l Kury Fixture Fixture <br /> Count List of Fixtures t:cunr List of Fixtures Count List of Fixtures Count List of Fixtures <br /> NC—Air Handling Units _ Gas Piping Backfiow Preventer(inside Bldg) ' Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer 1 Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) „ Refrigeration Drinking Fountain Sink.-Utility,laundry,mop , _. <br /> Exhaust Fans(Residential) commercial Ventilatior _IT Floor Drain Toilet <br /> Exhaust Hood(TypeT=I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair =• <br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil 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 /> _ SPRI�,N110-t I SUPPRESSION SYSTEM!!• . Sewage Ejector or Sump Pump Other <br /> ater Suppression system o.oMeads <br /> Chemical Suppression System I INoa of Heads . <br /> ACi(WOOt4+LEbGEM,EN7`/have reviewed this application and confirm the information contained herein is true and correct.Work done pursuant to this permit must comply with <br /> uTrent 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 /> i/dirig 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, <br /> ,and I comply with the State Contractors Law 18.27 RCW and 298.200A WAC. <br /> oy of Everett Official Use Only <br /> PER¶ \ \ <br /> 27 <br /> 11/0e/18 1 <br /> / ✓ I <br /> OwnerlAuthodzed Agent Signature Date (h ritied 10/10/2018) <br />