4518 5TH DR SE 2019-09-17 - Laserfiche WebLink

PERMIT APPLICATION BUILDING/ MECHANICAL/PLUMBING /SIGN /SPRINKLER/ DEMOLITION E V E R E T TCITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 4518 5th DR SE PROPERTY TAX#: 01014600001300 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Anna&Colin Parks TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 4518 5th DR SE • CITY EVERETT STATE WA ZIP 98203 25 OWNER PHONE: ^ -2QQ438 7j `2,7(D •UCD CST OWNER EMAIL: CONTRACTOR NAME: MM COMFORT SYSTEMS INVtv>,r4..f al ZMe 14.1 +,I • Cut , CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST C-200 CITY REDMOND STATE WA ZIP 98052 CONTRACTOR PHONE: 425-881-7920 CONTRACTOR EMAIL: PERMITS@MMCOMFORTSYSTEMS.COM CONTRACTOR LICENSE#(REQUIRED): MMCOMCS85564 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 055245 PRIMARY CONTACT: 0 OWNER IRI CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-629-1025 Jenah Barlow CONTACT EMAIL: PERMITS@MMCOMFORTSYSTEMS.COM BUILDING INFORMATION Existing Use of Building: Contract Price of Work:$ 5500 Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: EISFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: ADD AC 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 tNC—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/Oil Water Service(behind meter) 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 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 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 wit the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# 1.1i3.11 Owner/AP ze, . .-nt Signature Date (Revised 10/10/2018)