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924 WETMORE AVE 2019-05-22
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924 WETMORE AVE 2019-05-22
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5/22/2019 9:40:12 AM
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5/22/2019 9:40:12 AM
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Address Document
Street Name
WETMORE AVE
Street Number
924
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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 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> r <br /> PROJECT SITE ADDRESS:924 WETMORE AVE PROPERTY TAX#:00385417602200 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> ,y. .,. x , `100#000 <br /> OWNER NAME: DAVID FISH TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET 924 WETMORE AVE <br /> ciTt EVERETT STATE WA ZIP 98201 <br /> OWNER PHONE: 425-293-8303 OWNER EMAIL:NA <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): 016098 <br /> PRIMARY CONTACT: 0 OWNER D CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-259-0550 <br /> KAILANA CONTACT EMAIL:KAILANA@CMHEATING.COM <br /> Existing Use of Building: Contract Price of Work:$4250 <br /> Proposed Use of Building: Heat Source: DGas DElectric ❑Other <br /> BUILDING USE: DSFR ETownhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: LIKE IN KIND FIREPLACE REPLACEMENT <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures <br /> A/C—Air Handling Units _Gas Piping S Backflow Preventer(Inside Bldg) _Shower,Tub,or Combo <br /> Boiler S Gas Range —Clothes Washer —Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer —Heat Pump&Ductless a Dishwasher —Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) —Refrigeration —Drinking Fountain —Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilatio —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 /> 1 Gas Fireplace/Insert/Log —Roof Drains —Water Heater <br /> ` . ` ',? .. Iit(U177177;::`, - _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 /> 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.lam the owner,or/am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> �j,� / ���111 / l City ofEverett Official Use <br /> ^Only <br /> /'14c/L ff/4 % /L✓CJ PERMIT rY'\IOIO <br /> \""' t Un <br /> 01/04/19 1 <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br />
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