10601 9TH DR SE 2019-09-17 - Laserfiche WebLink

PERMIT APPLICATION ASI4PBUILDING/MECHANICAL/ PLUMBING l SIGN/SPRINKLER/DEMOLITION CITY OF EVERETT PERMIT SERVICES 9I z' 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I.FAX 425-257-8857 I O,everetteps@everettwa,gov I www.everettwa;govlpermits PROJECT SITE INFORMATION PROJECT SITE ADDRESS:10601 9th Dr SE '}PROOERTY TAX#: LEGAL for new construction: Short Platisubdivlslorl Lot No. (attach copy of long legal description) CONTACT INFORMATION; OWNER NAME:Lee & Pam Stoll TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 10601 9th Dr SE CITY EVERETT STATE 6...... ZIP 98208 YY OWNER PHONE:425 355 9084 OWNER EMAIL: CONTRACTOR NAMES MM COMFORT SYSTEMS CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 ary REDMOND STATE WA ZIP 98052 CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL:permits@mmcomfortsystems.com CONTRACTOR LICENSE#(REQUIRED);MMCOMCS85564 OITY OF EVERETT BUSINESS LICENSE#(REQUIRED) O j PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAMES- CONTACT PHONE:425-881-7920 JENAH BARLOW CONTACT EMAIL:permits@mmcomfortsystems.com BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work: Proposed Use of Building: Heat Source: ❑Gas pkiectno ❑Other Building'1'ype€ ❑SFR-Detached SFR-Attached UIDuplex 0Multi-Farnity4of Units: .DComrnercial ❑Industrial Type of Project: ONew 4...lttorti ❑Remodel DRepair ❑T Ir CISign ❑Sprinkler. ❑Demolition OChange of Use DESCRIPTION OF WORK: two head mini split ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION: PLUMBING,PERMIT APPLICATION Type of Project _New_ Addn _Alteration_Repair Type of Project _New _Addn _Alteration _Repair #of #of #of #of List of Fixtures List of Fixtures List of Fixtures List of Fixtures Fixtures Fixtures Fixtures Fixtures 4A/C—Air Handling Units 1 Heat Pump' �' Toilet v Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal ,Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain e Fireplace Wood Stove Kitchen Sink&Disposal 'Grease Trap �Ge DRaructi5 Dishwasher Roof Drains «. Clothes Dryr,Hookups 'Other: .Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink Service/Bar/Mop/etc.) Other: SPRINKLER I SUPPRESSION SYSTEM [Number 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 cI V PERMIT# `r/Authorized;Agent Signature ttllate (Revised fen ;;.015)