7004 BEVERLY BLVD 2021-11-10 - Laserfiche WebLink

• • PERMIT APPLICATION BUILDING / MECHANICAL/ PLUMBING I 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 Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:7004 BEVERLY BLVD PROPERTY TAX-ft:00392800100501 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: MAIYA ATKINS TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET7004 BEVERLY BLVD ap( EVERETT STATE WA zip 98203 OWNER PHONE: 425-870-6939 OWNER EMAIL:MAIYAATKINS@MSN.COM CONTRACTOR NAME:C.M. HEATING INC CONTRACTOR ADDRESS: STREET 1415 BROADWAY cm 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:$3000 Proposed Use of Building: Heat Source: DGas ❑Electric ❑Other BUILDING USE: DSFR ❑Townhouse ❑Duplex ❑ADU DMA-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ZNew ZAddition ❑Remodel DRepair OT.I. ❑Sign ❑Sprinkler ❑Demolition ❑Chat1ge of Use DESCRIPTION OF WORK: SINGLE ZONE DUCTLESS INSTALL 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.floorl Clothes Dryer i 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 StoveInterceptor-Sand/Oil Water Service(behind meter) Forced Air Systems _Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater y. SPRINKLER I SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System /3o.of Heads Irk Chemical Suppression System No.of Heads t tCKNOWLEDGEMENT I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with xlrrrent 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 iiiikling Official before being authorized under any circumstance.I am the owner,or!am authorized by the owner of this property to perform the work for which application is made, land 1 comply with the State Contractors Law 18.27 RCW and 296,200A WAC. ,1' A City of Everett Official Use Only ,e C .L.<14 cy 11,049 08/28/19 PER 1 0 (?) 01 1 Owner/Authorized Agent Signature Date (F7evised 10/10/2018) :.a