2006 75TH ST SE 2022-03-04 - Laserfiche WebLink

• • PERMIT APPLICATION BUILDING I MECHANICAL I PLUMBING I SIGN /SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES • 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-885'7 I(E)everetteps@everettwa.gov l www.everettwa.gov/permits (BlOio or Biaiditliik Only Pltra5,) PRO:MCT SITE INFORMATION PROJECT SITE ADDRESS:2006 75TH ST SE PROPERTY TAX#:00448100000700 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: TOM BANNISTER TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 2006 75TH ST SE cnv EVERETT STATE WA ZIP 98203 OWNER PHONE: 425-760-9386 OWNER EMAIL:thomasbbd@hotmail.com CONTRACTOR NAME:C.M. HEATING INC CONTRACTOR ADDRESS: STREET 1415 BROADWAY cm, 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: CI OWNER O CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-259 0550 KAILANA CONTACT EMAIL:KAILANA@CMHEATING.COM BUILDING INFORMATION Existing Use of Building: Contract Price of Work: $5000 Proposed Use of Building: Heat Source: OGas EjElectric ❑Other BUILDING USE: OSFR ❑Townhouse L.Duplex ❑ADU L]Multi-Family-#Units: ❑Commercial L.JAccessory Structure Type of Project: New [JAddition ❑Remodel ❑Repair CT.I. ❑Sit ri ❑Sprinkler ❑Demolition Li Change of Use DESCRIPTION OF WORK: SINGLE ZONE DUCTLESS 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 Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep.floor) Clothes Dryer t 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 HeaUAC 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 I SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System [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 1 am authorized by the owner of this property to perform the work for which application is made (alyd 1 comply with the State Contractors Law 18.27 RCW and 294.200A WAC. City of Everett Official Use Only C1,1—r4/24i 0/(2/ 11/05719 �Y �PERM Owner/Authorized Agent Signature Date (Revised 10/10/2018) •