519 PECKS DR 2019-07-08 - Laserfiche WebLink

PERMIT APPLICATION 1°111 1111 -41.7 - BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@aeverettwa,gov I www.everettwa.gov/permits (Blue or Black Ink Only Rosso) PROJECT SITE INFORMATION Y PROJECT SITE ADDRESS:519 PECKS DR PROPERTY TAX#:00541900000705 LEGAL for new construction: Short Plat/subdivision lot.No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: JANICE PETERSON TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET519 PECKS DR crry EVERETT STATE WA ZIP 98203 OWNER PHONE: 425-353-3843 OWNER EMAIL:N/A CONTRACTOR NAME:C.M. HEATING INC CONTRACTOR ADDRESS: STREET 1415 BROADWAY cin, 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): 01609$_. PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 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: $10,200 Proposed Use of Building: Heat Source: ❑Gas (]Electric ❑Other BUILDING USE: OSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accesso Structure Type of Project: ❑New ©Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: LIKE IN KIND AIR HANDLER CHANGE OUT WITH 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 NC—Air Handling Units _Gas Pi.in. Backflow Preventer Inside Bld.) Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer i 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(T .e 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) i Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log I Roof Drains Water Heater SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System I ,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 f 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 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. 1. City of Everett Official Use Only PERM( / .474,Z-4/ 4 110/2/ 02/28/19 ' _ l U9). ` Owner/Authorized Agent Signature Date (ReVisezf 10/1(Ir2018) s