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0 • <br /> illP ' • PERMIT APPLICATION <br /> BUILDING / MECHANICAL/ PLUMBING / 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 j(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:2320 OAKES AVE PROPERTY TAX#:00439149202300 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> .. CONTACT INFORMATION <br /> OWNER NAME: CONOR FRAMKE TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET 2320 OAKES AVE <br /> ciTy EVERETT STATE WA ZIP 98201 <br /> OWNER PHONE: 253-228-8202 OWNER EMAIL:Conor,framke@outlook.com <br /> CONTRACTOR NAME:C.M. HEATING INC <br /> CONTRACTOR ADDRESS: STREET 1415 BROADWAY <br /> CITY EVERETT STATE WA ZIP 98201 . <br /> CONTRACTOR PHONE:425-259-0550 CONTRACTOR EMAIL:KAILANA@CMHEATING.COM <br /> CONTRACTOR LICENSE#(REQUIRED):CMHEAI*09554 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 01609,8:7. <br /> .PRIMARY CONTACT: ❑OWNER CI CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425 259 0550 <br /> 'KAILANA CONTACT EMAIL:KAILANA@CMHEATING.COM <br /> BUILDING INFORMATION i <br /> Existing Use of Building: Contract Price of Work: $15,000 <br /> • <br /> Proposed Use of Building: Heat Source: ❑Gas (:Electric ❑OtherTA� I <br /> BUILDING USE: OSFR ❑Townhouse DDuplex EADU ❑Multi-Family-#Units:____- ECommercial ElAccessory Structure <br /> Type of Project: New []Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ESprinkler ❑Demolition ❑Changge of Use <br /> DESCRIPTION OF WORK: <br /> i4 ZONE DUCTLESS INSTALL <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture List of Fixtures Fixture Fixture Fixture �. <br /> ` Count Count List of Fixtures Count List of Fixtures Count List of Fixtures <br /> A/C—Air Handling Units Gas Piping _ 8ackflow 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 Ventilation Floor Drain Toilet <br /> Exhaust Hood(Type 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 Healer <br /> SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> dater Suppression System TNo.of Heads - - - <br /> Chemical Suppression System 1 No.of Heads <br /> ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained heroin is true and correct. Work done pursuant to this permit must comply with <br /> :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 <br /> 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; <br /> and t comply with(he Stale Contractors Law 18.27 ROW and 296.200A WAC. -- <br /> �i- ,� 1 �,/� / City of Everett Official Use Only <br /> , C .L-/ /t/4 71/104/'C- ✓ PERM,; , ( ,i OG cA <br /> 11/19/19 \ <br /> Owner/Authorized Agent Signature Date (Revised 10110/2018) <br /> } <br /> . <br />