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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 /> • 4 ._ . .,..... . ._ f,.. TE !1 71t N W42!. t er... <br /> PROJECT SITE ADDRESS:1524 WETMORE AVE PROPERTY TAX#:00553632102400 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER NAME: ROSE JOHNSON TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET 1524 WETMORE AE <br /> crry EVERETT STATE WA ZIP 98201 <br /> OWNER PHONE: O <br /> 425 259-4309 WNER 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 ID CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-259-0550 <br /> KAI LANA CONTACT EMAIL:KAILANA@CMHEATING.COM <br /> Existing Use of Building: Contract Price of Work:$3000 <br /> Proposed Use of Building: Heat Source: OGas ❑Electric ❑Other <br /> BUILDING USE: OSFR ❑Townhouse ❑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 FURNACE CHANGE OUT <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> AQ,a,MEMIZIMea*Ortk:ML'. .01111.1111111111711111111 ran -5 rzily*:,,,:,10*03111111irlteifl <br /> FixtureFixture Fixture Fixture <br /> Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures <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 —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 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 /> 1 Forced Air Systems —Other: —Medical Gas —Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log —Roof Drains —Water Heater <br /> SP„ N14-ERRR/ UP ",; N S'YST, -d )_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.I am the owner,or I 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 /> City of Everett Official Use Only <br /> PERMIT <br /> 01/08/19 <br /> ����/ 7 ��� Date (Revised 10/10/2018) <br /> Owner/Authorized Agent Signature <br />