6129 W MAGNOLIA AVE 2021-12-17 - Laserfiche WebLink

• • PERMIT APPLICATION BUILDING / MECHANICAL/ PLUMBING / SIGN / SPRINKLER/ DEMOLITION 4 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 ir (Blue or Block Ink Only Pll lso) PRR JECT SITE INFORMATION PROJECT SITE ADDRESS:6120iMAGNOLIA AVE ' ,el`+ QERTYTAX#:28040100401000 LEGAL for new construction: Short Plat/subdivision (, (4i Loot No. ach copy of long legal description) CONTACT INFORMATION OWNER NAME: MICHAEL DAVIS TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: sTREET6129 MAGNOLIA AVE cirr EVERETT STATE WA an 98203 OWNER PHONE; 425-422-1850 OWNER EMAIL:mdavis426@hotmail.com CONTRACTOR NAME:C.M. HEATING INC CONTRACTOR ADDRESS: STREET 1415 BROADWAY civ 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 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-259-0550 KAILANA CONTACT EMAIL:KAILANA@CMHEATING.COM s BUILDING INFORMATION Existing Use of Building; Contract Price of Work:$11,750 Proposed Use of Building: Heat Source: ❑Gas CIElectric ❑Other _ BUILDING USE: OSFR ❑Townhouse ❑Dupiex OADU ❑Multi-Family-#Units. Commercial LiAccessory Structure Type of Project. New _]Addition ©Remodel Repair DTI. ❑Sign ❑sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK; DUCTLESS HEAT PUMP INSTALLATION ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures cover 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) M Clothes Dryer 1 Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilation 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 'i Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) 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 o.of Heads Chemical Suppression System I 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!comply with the State Contractors Law 18.27 RCW and 296.200A WAC, City of Everett Official Use Only `vt Y �/C i�.G_ PERMIT#, —�� / 44,2 Y�.p �4 C- 09/04/19 \ `,CA O Owner/Authorized Agent Signature Date (Revised 10/10/2018) i s