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0t 3UCo---(A <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING I SIGN /SPRINKLER I DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 j(Eeveretteps©everettwa,gov I www.everettwa,gov/permits <br /> PROJECT SITE INFORMATION - <br /> i IIROJECTTSITE ADDRESS: PROPERTY TAX#: <br /> 1726 A HOYT AVE 00438034501900 <br /> t LEGAL for new construction: Short Plat/subdivision Lot No: (attach copy of long legal description) <br /> CONTACT INFORMATION: <br /> OWNER NAME:CHRISTINA CURTIS TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 1726 HOYT AVE <br /> civ EVERETT STATE WA ziP 98201 <br /> OBER PHONE:425 238 1977 <br /> ;OWNER EMAIL: <br /> i <br /> 1 CONTRACTOR NAME MM COMFORT SYSTEMS <br /> \CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE,C-200 <br /> civ REDMOND STATE WA ..zip 981, <br /> CONTRACTOR PHONE 425-881 7920 <br /> ICONTRAGTQR EMAIL:Hermits@mmcomfortsystems.co <br /> COtTRACTOFLICENSE#(REQUIRED):MMCOMCS85564 �5 <br /> Ct OF EVERETT BUSINESS LICENSE IItLQtjltEbj � � :a <br /> PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR 0 OTHER(Please Specify)•..._.. ., <br /> CONTACT NAME: CONTACT PHONE:425-881-7920 <br /> CONTACT EMAIL:permits@mm . fortsystems.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building; , Contract,Price of_Wor -.� <br /> of:Proposed Use of Building: Heat Source: iliGas ❑Electric ❑Other <br /> I Building Type: ❑SFR-Detached DSFR-Attached ❑Duplex ❑Multi-Family-#of Units: A Commercial ❑Industrial <br /> ,of Project ❑New ❑Addition `"a -^ ;,' ,aRetail' DTI. ❑SJgn DS Inkier M'- ol.ition Ocietenge of Use <br /> l DESCRIPTION OF WORK: <br /> REPLACE GAS FURNACE: LIKE FOR LIKE <br /> IN MAIN HOUSE. <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 /> Fixtures , '•ol #of List of Fixtures of List of Fixtures #of List of Fixtures <br /> .. Fixtures Fixtures Fixtures <br /> A. ,f. rottS Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems 'Unit Heater Bathtub Urinal <br /> Gas PipingBoiler Lavatory(Wash Basin) Drinking Fountain A. <br /> Water Heater Refrigeration , Shower Floor Drain <br /> as .: -ce, - 'Wood Stove - Kitchen Sink&Disposaal ."' Grease Trap <br /> Gas Range Ducting Dis�hwashe Roof Drains:: <br /> I' r Clothes Dryer Hookups _Other: Clothes Washer Medical Gas <br /> Range Hooii. Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc) Other <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> 'Number of Heads <br /> r 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 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 comply with the State Contractors Law 18.27 RCW and 296.200A WAC, <br /> City of Everett Official Use Only <br /> , <br /> PER T , .,. <br /> 10/17/18 , . a. on.. 02) <br /> v <br /> Agent Signature t ` vis r t042f2Ot <br />