10212 MERIDIAN AVE 2019-11-06 - Laserfiche WebLink

Oh ...... f PERMIT APPLICATION e III BUILDING/ MECHANICAL/ PLUMBING/SIGN /SPRINKLER/ DEMOLITION EVERETTCITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 10212 Meridian ave PROPERTY TAX#: 00396900005400 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Brigitte Scott TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 10212 Meridian ave CITY EVERETT STATE WA ZIP 98203 OWNER PHONE: 425-238-6413 OWNER EMAIL: brigittescott2000@yahoo.com CONTRACTOR NAME: MM COMFORT SYSTEMS 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 II 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: ❑Gaslectric ❑Other BUILDING USE: ®SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair CIT.!. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: HEAT PUMP AND AIR HANDLER CHANGE OUT ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture I Fixture _Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures _A/C—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 r Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilation 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) i 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 Chemical Suppression System I INo.of Heads 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 com.ly with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only Owne uthorized Agent Signature 1 Date (Revised 10/10/2018)