2030 113TH PL SE 2019-08-14 - Laserfiche WebLink

; PERMIT APPLICATION t ,.ti' BUILDING ! MECHANICAL/ PLUMBING I SIGN / SPRINKLER! DEMOLITION �'ri��"" CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everetlwa.gov I www.everettwa.gov/permits IBluo or Black Ink Only Noose) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:2030 113TH PL SE PROPERTY TAX#:01 148000100100 LEGAL for new construction: Short Plat subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: JENNIFER HESSE TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: sTREET2030 113TH PL SE crrr EVERETT STATE WA ZIP 98208 s OWNER PHONE: 509-554-4705 OWNER EMAIL:fraumagistra@gmail.com 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): 016098'. PRIMARY CONTACT: ❑OWNER D CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-259-0650 KAILANA CONTACT EMAIL:KAILANA@CMHEATING.COM BUILDING INFORMATION Existing Use of Building: Contract Price of Work:$sloo Proposed Use of Building: Heat Source: OGas DElectric ❑Other BUILDING USE: DSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New DESCRIPTION OF WORK: EAddition Remodel ORe alt DTI ❑Sgn ❑Sprinkler EDemolition ❑Change of Use 2 ZONE DUCTLESS HEAT PUMP INSTALL ASSOCIATED BUILDING PERMIT# f 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 NO—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 i Heat Pump&Ductless Dishwasher d 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/Oil Water Service(behind meter) Forced Air Systems _ Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER!SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other Water Suppression SystemNo.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 I comply with the State Contractors Law 18.27 RCW and 296.2004 WAC. City of Everett Official Use Only PERT IT# 4 Y,.z/ f. 74)4 I� C`` 06/13/19 1 I v 0- V ql Owner/Authorized Agent Signature Date (Revised 10/10/2018) 1 I