1701 COLBY AVE 2019-08-07 - Laserfiche WebLink

PERMIT APPLICATION BUILDING / MECHANICAL/ PLUMBING /SIGN I SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES a ' 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:1701 COLBY AVE PROPERTY TAX* LEGAL for new construction: Short Plat1subdivision ___. Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: KERI JOHNSON TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 1701 COLBY AVE cm EVERETT STATE WA ZIP 98201 OWNER PHONE:360-960-1986 OWNER EMAIL:ikarljohnson@gmall.cor CONTRACTOR NAME:C.M. HEATING INC CONTRACTOR ADDRESS: STREET 1415 BROADWAY cry EVERETT STATE WA zip 98201 CONTRACTOR PHONE:425-259-0550 CONTRACTOR EMAIL:DEBBIE@CMHEATING.COM CONTRACTOR LICENSE#(REQUIRED):CMHEAI"09554 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 016098 PRIMARY CONTACT: ❑OWNER El CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-259-0550 DEBBIE CONTACT EMAIL:DEBBIE@CMHEATING.COM BUILDING INFORMATION Existing Use of Building: Contract Price of Work:$3900 Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: OSFR ❑Townhouse ❑Duplex ❑ADU ❑Mull)Family-#Units: ❑Commercial ❑Accessory Structure Typo of Project: ❑New ❑Addition ❑Remodel ❑Ropair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Changs of Use DESCRIPTION OF WORK: REPLACE GAS FURNACE-LIKE FOR LIKE ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures List of Fixtures List of Fixtures List of Fixtures Count Count Count NC—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 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/O11 Water Service(behind meter) 1 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 i am authorized by the owner of this property to perform the work for which application is made, and/comply with the State Contractors Law 18.27 RCW and 296.200A WAC. )` City of Everett Official Use Only ,,.. PER .- 2/11/19 1 ;Owner/A orIzed Agent S tore 4 pate (Revised 10/10/2018)