202 74TH ST SE 2023-06-12 - Laserfiche WebLink

• • PERMIT APPLICATION BUILDING / MECHANICAL/ PLUMBING /SIGN / SPRINKLER I DEMOLITION "IIIIP'A4111—A— ,N 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 wwww.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:202 74TH ST SE PROPERTY TAX#:00392000001701 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: CAMILLE TABOR TENANT BUSINESS NAME(Commercial): N. OWNER MAILING ADDRESS: STREET202 74TH ST SE cire EVERETT STATE WA zip 98203 OWNER PHONE: 425-876-7379 OWNER EMAIL:carnille.tabor@gmail.com CONTRACTOR NAME:C.M. HEATING INC CONTRACTOR ADDRESS: STREET 1415 BROADWAY cir EVERETT STATE WA ZIP 98201 _ CONTRACTOR PHONE:425-259-0550 CONTRACTOR EMAIL:KAILANA@CMHEATING.COM CONTRACTOR LICENSE#(REQUIRED):CM H EAI*09554 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 01609$,. PRIMARY CONTACT: 0 OWNER CI CONTRACTOR Cl 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: $4200 Proposed Use of Building: Heat Source. ❑Gas ❑Electric ❑Other BUILDING USE: OSFR ❑Townhouse EDuplex DADU ❑Multi-Family-#Units: ❑Commercial [[Accessory Structure Type of Project: ❑New LiAddition ❑Remodel ©Repair, ❑T.I, ❑Sign ❑Sprinkler ❑Demoittion I:..1Change of Use DESCRIPTION OF WORK: SINGLE ZONE DUCTLESS INSTALL ASSOCIATED BUILDING PERMIT#(It applicable). .. MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture v Fixture Fixture Fixture Count List of Fixtures Corer 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) Clothes Dryer 7 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 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 l ' No.oTHeads Chemical Suppression System No.of Heads 1ACKNOWLEDGEMENT;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.l am the owner,or I am authorized by the owner of this property to perform the work for which application is made, ":`. ;and I comply with the State Contractors Law 18.27 RCW and 296,200A WAC. f' r gCityofEverettOfficialUseOnly r°<e91 /-4/1, t",rl,�t�.t/i 08/02/15 PERMIT\ `OCZ CAS Owner/Authorized Agent Signature Date (Revised 1 0/1 020 1 8)