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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PE <br /> 32001 <br /> 200 CEDAR STREET,EVERETTERMITS,WARVICES 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 j,( )everetteps@everettwa.gov I www,everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: PROPERTY TAX'#: <br /> 10113 31st AVE SE 01029000001900 <br /> LEGAL for new construction: Short Plat/subdivision Lot No, (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER y Ramberg TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 10113 31st AVE SE <br /> cnv EVERETT STATE W` ZIP 98203 <br /> SER PHONE:425-239-6344 <br /> tVNE EMAIL:timramberg@hotmail.com <br /> CONTRACTOR NAME: MM COMFORT SYSTEMS <br /> CONTRACTOR ADDRESS:; STREET 18103 NE 68TH ST SE, C-200 <br /> crry REDMOND srATE WA ZIP 98052 <br /> g ONTRACTOR PHONE;425-881- 7920 CONTRACTOR EMAIL:permits@mmcomfortsystems.com <br /> NTRACTOR LICENSE#REQUIRED):MMCOMCS85564 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED, 055245 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: ;CONTACT PHONE:425-881-7920 <br /> JENAH BARLOW <br /> CONTACT EMAIL:permits@mmcomfortsystems.com <br /> BUILDING PERMIT APPLICATION _. <br /> Existing Use of Building: Contract Price of Work:$4,500 <br /> Ptsed Use of Building: Heat Source: _❑Gas ['Electric ['Other Type: ['SFR-Detached ❑SFR-Attached ['Duplex ❑Multi-Family of Units: ❑Commercial ❑Industrial <br /> I Type of Project: ❑New ❑Addition ❑Remodel _❑Repair_ .❑TJ., ❑Sign ['Sprinkler ['Demolition ['Change of Use <br /> DESCRIPTION OF WORK: <br /> ADD AC ON <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> .. <br /> 1 MECHANICAL PERMIT APPLICATION .� PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_ Addn Alteration Repair Type of Project: New _Addn _Alteration _Repair <br /> 1 #of #of #of... . #of <br /> List of Fixtures List of Fixtures List of Fixtures List of Fixtures <br /> Fixtures Fixtures -Fixtures Fixtures <br /> 1 + .-Air l iling;,Uitits Heat Pump Toilet Backflow Preventer(Inside Bid <br /> ,N0.« <br /> oeAu�Sy � Unit Heater Bathtub Urinal <br /> Gas Piping *Bailer 'tavatolyitliasti,Basin) On king Fountain <br /> JWater Heater RefrigerationShower Floor Drain <br /> +Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains "k <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Ratge.HQgd Water Heater Other: <br /> iExhaust Fan Sink;{Service/Bar/Mop/etc. Other: <br /> SPRINKLER I SUPPRESSION SYSTEM <br /> INumber ot"Meads <br /> 1 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 ct pip i jtlt:the State Contractors Law 18,27 RCW and 298.200A WAC <br /> City of Everett Official Use,Oi#,y' <br /> `I ` P�rRMtIT# I D�' wried Si nature Date f1,1p,►_ (F?etn6etl <br />