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1 <br /> PERMIT APPLICATION <br /> -- BUILDING I MECHANICAL/PLUMBING/SIGN /SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> r ! 3200 CEDAR STREET,EVERETT,WA 98201 <br /> 1 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov( wmotteverettwegovIperrnits <br /> 1 PROJECT SITE INFORMATION <br /> T3007 17th ST ROJECT SITE ADDRESS: PROPERTY TAX#: <br /> 00605400100200 <br /> LEGAL for new construction: Short PIetlsubdivisionLot No. (attach copy of long legal description) <br /> CONTACT INFORMATION! <br /> tOWNER NAME:AUtUrpn Baird TENANT NAME(If Commercial):, <br /> OWNER MAILING ADDRESS: STREET 3007 17th ST <br /> aTY EVERETT TAz ... WA zip 9820.1 <br /> OWNER PHONE:425 355 9084 (OWNER EMAIL:.autumnbaird@gmai.corn <br /> CONTRACTOR NAME, MM COMFORT SYSTEMS <br /> ? CONTRACTOR ADDRESS: ' STREET 18103 NE 68TH ST SE, C-200 <br /> civ REDMOND STATE WA zip 98052.. <br /> CONTRACTOR PHONE:425-881-7920 ,CONTRACTOR EMAIL:permits@mmcomfortsystems.com <br /> CONTRA TOR LICENSE#(R>=OuiREt):MMCOMCS85564CITY OF EVERETT BUSINESS LICENSE{f(R1zgt D) h <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-881-7920 <br /> JENAH BARLOW <br /> CONTACT EMAIL permits@mmcomfortsystems.com <br /> ;UUILDING PERMITAPPLICATION <br /> Existing Use of Building: Contract Price of Work:$7,500 <br /> Proposed Use of Building: Heat Source: OGas d D ther< <br /> Building Type: ❑SFR-Detached SFR-AttachedQDitpsX ❑ <gtMulti-FamilyofUni ' ❑Commercial El industrial w <br /> Type of Project: ❑New °Addition' 0 Remodel °fir ❑T,I, ❑Sign ❑Sprinkler °Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> heat pump and air handler <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 #of <br /> Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fixtures. : List of Fixtures <br /> Aft`-Air Fieridiina.Units : 1 Heat Pump toilet - Backflow Preventer(Inside Bldg) <br /> forcedAir" tsteme Unit Heater Bathtub Urinal <br /> 'Gas Piping Boiler Lavatory(Wash.Basin) p :Drinkirt)1"F#utttairt <br /> Wafer Heater RefrigerationShower Floor Drain <br /> Gas Fireplace 111food Stove Kitchen Sink 8"Disposal 'Grease Trap: f <br /> Gas Range Ducting" Dishwasher PRoof Drains" `' <br /> Clothes Dryer Hookups Other: Clothes Washer Medical <br /> l Gas <br /> ‘HOod 1 a r handierWater Heater Other: <br /> "Exhaust Fen i lk{ dryteeMer)Metiletc =Diner. <br /> R <br /> - .L <br /> SPRINKLER I SUPPRESSION SYSTEM <br /> r <br /> � tNumier of heads v - <br /> 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 0 :, • •. being authorized under any circumstance.3 am the owner,or I em authorized by the owner of this property to perform the work for which application is made, <br /> and I comply w ll the State Contractors Law 18.27 RCW and 296,200A WAG <br /> City of Everett Official Use Only_. <br /> PERMIT# I <br /> 19 M190Z OLS <br /> OVitner ,,AgeritSigvature Oa"t (l' teff ) <br />