4230 GRAND AVE 2021-12-20 - Laserfiche WebLink

110 • PERMIT APPLICATION ,,, OP BUILDING I MECHANICAL I PLUMBING I SIGN I SPRINKLER I DEMOLITION „ili CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I wwWeverettwa.gav/permits o (Blue or Black Ink Only Moose) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:4230 GRAND AVE PROPERTY TAX#:00422000000600 —a LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: ERIC JEFFREY TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: sTREET4230 GRAND AVE cnv EVERETT STATE WA ZIP 98203 OWNER PHONE: 425-330-7576 OWNER EMAIL:ERICDJEFFREY@GMAIL.COM CONTRACTOR NAME:C.M. HEATING INC CONTRACTOR ADDRESS: STREET 1415 BROADWAY , • CITY EVERETT STATE WA ZIP 98201 CONTRACTOR PHONE:425-259-0550 CONTRACTOR EMAIL:KAILANA@CMHEATING.COM CONTRACTOR LICENSE#(REQUIRED):CM HEAI*09554 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 016090. PRIMARY CONTACT: ❑OWNER CI CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-259-0550 KAI LANA CONTACT EMAIL:KAILANA@CMHEATING.COM BUILDING INFORMATION Existing Use of Building: Contract Price of Work:$9000 Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other ,.. BUILDING USE: EISFR ❑Townhouse ❑Duplex ❑ADU ❑Multi=Family-#Units: ❑Commercial L 1Accessory Structure Type of Project ❑New ❑✓Addition ❑✓Remodel ❑✓Repair DTI. ❑Sign LiSprinkter ❑Demolition ❑Chancre of Use DESCRIPTION OF WORK: LIKE IN KIND AIR HANDLER CHANGE OUT WITH HEAT PUMP INSTALLATION 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 Pipinnc 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 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 WasteilNater Piping Repair o Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) I Forced Air Systems Other: Medical Gas Water Valves or Fixtures 4 _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 j "No.of Heads ACKNOWLEDGEMENT 1 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 grantingof a�" permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the )8uifding 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, jand 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAD ) City of Everett Official Use Only b n / .(Y�,t._..r1�r'L/.�Y /ft/C 1� 09/19/19 PERMIT � �/��J Owner/Authorized Agent Signature t Date (Revised 10/10/2018) /t/J(/� t�/)