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II <br /> 0*8 214 <br /> PERMIT APPLICATION <br /> BUILDING I MECHANICAL I PLUMBING I SIGN I SPRINKLER I DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> Iltitri..7 - 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 j FAX 425-257-8857 i(E)everetteps@everettwa,gov l www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: PROPERTY TAX#: 1 <br /> �716 74TH ST SE `3 ion <br /> LEGAL for new construction: Short Plat/subdivision Lot No, (attach copy of long legal description) <br /> CONTACT INFORMATION' <br /> OWNER NAME:AARON ATWOOD TENANT NAME(If Commercial): i <br /> OWNER MAILING ADDRESS: STREET 1716 74TH ST SE <br /> circ EVERETT STATE WA Zip 98203 1 <br /> OWNER PHONE:425-344.2026 OWNER EMAIL:Atwood.aaron@yahoo.com I <br /> i <br /> CONTRACTOR NAME: MM COMFORT SYSTEMS <br /> CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 <br /> c]T' REDMOND STATE WA zip 98052 <br /> CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL:permits@mnicomforlsystems.com <br /> CONTRACTOR LICENSE#REQUIREDD:MMCOMCS85564 , <br /> CITY OF EVERETT BUSINESS LICENSE#(REQU#RED) £ <br /> PRIMARY CONTACT: 0.OWNER 0 CONTRACTOR °.OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-881-7920 <br /> CONTACT EMAIL:peril`tits@rrimcomfortsystems.com <br /> BUILDING PERMIT APPLICATOOI <br /> Existing Use of Building: Contract Price of Work:$17,083 <br /> Proposed Use of Building: Heat Source: OGas ❑Electric ❑Other <br /> Building Type: ,FR-Detached I SFR-Attached °Duplex DMuiti-Family-#of Units: OGommercial ❑Industrial <br /> Type of Project: ©New DAddition °Remodel °Repair °T,I, °Sign °Sprinkler ❑Demolition DChange of Use <br /> DESCRIPTION OF WORK: REPLACE GAS FURNACE; INSTALL NEW HEAT PUMP <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING'PERMIT APPLICATION <br /> Type of Project: _New Addn Alteration Repair Type of Project: New Addn Alteration Repair <br /> #of #of #of #ref <br /> List of fixtures List of Fixtures List of Fixtures list of Fixtures 1 <br /> ,Fixtures; Fixtures Fixtures Fix#ures ) <br /> A/C—Air Handling Units t Heat Pump Toilet Backflow Preventer(inside;Bldg), <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinkin Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal , Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other <br /> Exhaust Fan Sink(Service/Bar/Mopfetc.) Other: <br /> I <br /> SPRINKLER I:SUPPRESSION SYSTEM <br /> 'Number of Heads <br /> ACKNOWLEDGEMENT:t 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.lam the owner,ort am authorized by the owner of this property to perform the work for which application is made, <br /> and 1 comply with the State Contractors Law 18.27 ROW and 296.200A WAC. <br /> City of Everett Official Use Only s <br /> PER <br /> 0 n (1/4r:) , <br /> er/•uthorized Agent Signature Date (Revisjd 101220 ) <br /> 1 <br />