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PERMIT APPLICATION <br /> "IlliPso'4144414r/---.4 <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 I(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:2616 Hillside Ln PROPERTY TAX#: <br /> LEGAL for new construction, Short Plat/subdivision Lot No, (attach copy of long legal description) <br /> f <br /> CONTACT INFORMATION <br /> OWNER NAME:Michael Trent TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 2616 Hillside Ln <br /> 1. on, EVERETT STATE WA zip 98203 <br /> OWNER PHONE:425 355 9084 OWNER EMAIL: <br /> 1 <br /> CONTRACTOR NAME: MM COMFORT SYSTEMS <br /> CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 <br /> CITY REDMOND STATE WA ziv 98052 <br /> CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL:permits@mmCOmfortsysterns.com <br /> CONTRACTOR LICENSE#(REQUIRED):MMCOMCS85564 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 055245 <br /> PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: F n� I ,/�, CONTACT PHONE:425-881-7920 <br /> J E `AH BARLO Y Y CONTACT EMAIL:permits@mmcomfortsystems.corn <br /> { <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Contract Price of Work:$J7,500 .t <br /> Proposed Use of Building: Heat Source: QCas ti Electric ❑Other <br /> Building Type: lISFR-Detached 'SFR-Attached ❑Duplex ❑Multi-Family-#of Units: OCommercial ❑Industrial. <br /> Type of Project ❑New DAddition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ODemolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> FURNACE CHANGE OUT , ADD AC <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 List of Fixtures #of List of Fixtures #of _ List of Fixtures #°f List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> NC–Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> 1} Forced Air Systems Unit HeaterBathtub Urinal <br /> — <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc,) Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> ]Number of Heads <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 Co ply with the State Contractors Law 18,27 RCW and 296 200A WAC, <br /> City of Everett Official Use Only <br /> PERMIT# <br /> , 1), t, \ <br /> VY\ ".. t3 q <br /> O' . .uth.'"zed Agen ature Date (Revised 0/121207 <br />