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0131(07- B <br /> PERMIT APPLICATION <br /> BUILDING I MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> 1 (P)425-257-8810 I FAX 425-257-8857 I(E)everettepseeverettwa.gov I www.everettwa.gov/farm <br /> PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: PTY TA*#: r " <br /> 1726ROPER <br /> . B HOYT AVE � 00438034501900 <br /> LEGAL for new construction: Short Plat/subdivisionLot No (attach copy of tong legal description) <br /> :i" <br /> CONTACT INFORMATION <br /> j `OWNER NAME:CHRISTINACURTIS TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 1726 A HOYT AVE <br /> air, EVERETT STATE WA. ZIP 98201 <br /> OWNER PHONE 425 238 1977 <br /> OWNER EMAIL: <br /> CONTRACTOR NAME MM COMFORT SYSTEMS <br /> CONTRACTOR ADDRESS STREET 18103 NE 68TH ST SE,C-200 <br /> CITY REDMOND STATE WA ZIP 980, <br /> CONTRACTOR PHONE:425-881-7920 .CONTRACTOR EMAIL.permits@mmcomfortsystems.com <br /> CONTRACTOR LICENSE#(REQUIRED):MMCOMCS85564 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED) \:_... .. <br /> PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-881-7920 <br /> CONTACT EMAIL permits@m • • fortsystems.com <br /> BUILDING PERMIT._APPLICATIO <br /> Al,Existing Use of Building: Contract Price of W,r :$2127 <br /> Proposed Use of Building; Heat Source; jE as DElectri. ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> Type of Project ❑New DAddition C Repair ❑T1 'C Sign_ L]Sprnkier Demolition DChan of Use <br /> DESCRIPTION OF WORK: ' <br /> REPLACE GAS FURNACE, LIKE FOR LIKE IN CONVERTED <br /> GARAGE. <br /> ASSOCIATE BUILDIING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION + PLUMBING PERMIT APPLICATION <br /> Type of ,New Addn Alteration Re <br /> YP Project pair Type of Project _New _Addn _Alteration _Repair <br /> #of #of <br /> List of Fixtures List of Fixtures List of Fixtures <br /> Fixtures y Fixtures Fixtures Fixtures <br /> orced Air Systems::; Unit Heater Bathtub' Heat Pump Toilet , Ur naflow w i ?reventer(Inside Bldg) <br /> Pl <br /> Gas Piping: Boiler 'Lavatory(Wash Basin): Drinking,Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> W(Ua5 Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> `Gas Range Ducting ! Dishwasher Roof Drains <br /> YCtothBa:Dryer Hookups Other: Clothes Washer Medical Gas <br /> 'PlancieHF Water Heater Other: <br /> Exhaust Fan Sink Service/Bar/Mop/etc; Other: <br /> _..._.. ..... .,: _.. i:,_ <br /> SPRINKLER I SUPPRESSION SYSTEM <br /> mm.� <br /> umber o14 Pleads <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 /> I. and/comply with the State Contractors Law 18,27 RCW and 296,200A WAC, <br /> Oily of Everett OAimial Use Only <br /> PEf )* ` Z1 <br /> 10/22/18 , ®* \1 <br /> ': ed Agent'Signature Date <br /> •; <br /> � livii�rf�t�Y12 `f5}. _ <br />