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T I • <br /> PERMIT APPLICATION <br /> NIEW: <br /> BUILDING I 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 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blur or Black Ink Only Pleose) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:1825 OAKES AVE PROPERTY TAX#:00437936501300 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: AMY ACCETTURO TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET 1825 OAKES AVE <br /> crnr EVERETT STATE WA ZIP 98201 . <br /> OWNER PHONE: 425-760-3022 OWNER EMAIL:ACCETTURO.AMY@GMAIL.COM <br /> CONTRACTOR NAME:C.M. HEATING INC <br /> CONTRACTOR ADDRESS: STREET 1415 BROADWAY <br /> cry EVERETT STATE WA ZIP 98201 . <br /> CONTRACTOR PHONE:425-259-0550 CONTRACTOR EMAIL:KAILANA@CMHEATING.COM <br /> CONTRACTOR LICENSE#(REOUIREO):CMHEAI*09554 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 016098:' <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-259-0550 <br /> KAILANA CONTACT EMAIL:KAILANA@CMHEATING.COM <br /> BUILDING INFORMATION <br /> Existing Use of Building: Contract Price of Work:$5100 <br /> Proposed Use of Building: Heal Source: OGas IDElectric DOther <br /> BUILDING USE: OSFR ❑Townhouse ❑Duplex EADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> Type of Project: ❑✓New ©Addition ERemodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> SINGLE ZONE DUCTLESS INSTALLATION <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> r. MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> (Fixture Fixture Fixture Fixture <br /> List of Fixtures List of Fixtures List of Fixtures List of Fixtures <br /> .' Count Count Count Count i <br /> NC—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range —Clothes Washer Sink-Commercial(3-comp,prep.floor) <br /> Clothes Dryer i 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 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 Flood(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 /> SPRINKLER I SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression System No.of Heads --, <br /> Chemical Suppression System No.of Heads <br /> 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 # . <br /> 1current 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 /> 8uitding Officia efore 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,-1 <br /> rand I comply ith the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> 1 City of Everett Official Use Only <br /> PERM�TM# 1 1 <br /> 12f02H9 1 ' r L q I-- (9Ok6 <br /> ner/Auttutltzed'tgan irgttatur Date {Revised 10/10t2018} <br /> t . <br />