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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> .1,i0tiiw-t <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov i www.everettwa.gov/permits <br /> PROJECT SITE'INFORMATION <br /> PROJECT SITE ADDRESS: PROPERTY TAX#: <br /> 1401 Hoyt Ave <br /> LEGAL for new construction: Short Plat/subdivision - Lot No, (attach copy of long legal description) <br /> CONTACT INFORMATION, <br /> OWNER NAME:BOB O'Bryant TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 1401 Hoyt Ave <br /> r <br /> city EVERETT srnrE..-:... A.,,...�.. ZIP 98201 <br /> OWNER PHONE:425-422-5067 <br /> OWNER.EMAIL:. <br /> CONTRACTOR NAME: MM COMFORT SYSTEMS <br /> CONTRACTOR ADDRESS: .TREET 18103 NE 68TH ST SE, C-200 <br /> city REDMOND STATE WA ZIP 98052 <br /> CONTRACTOR PHONE:425-881-7920 [CONTRACTOR EMAIL permits@mmcomfortsystems,com <br /> CONTRACTOR LICENSE E#(REQUIRED):MMCOMCS85564 girt or EVERETT BUSINESS LICENSE#(REQUIRED). 4 <br /> PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) <br /> . <br /> CONTACT NAME: CONTACT PHONE:425-881 7920 <br /> JENAH BARLOW <br /> CONTACT EMAIL:permits@mmcomfortsystems.com <br /> 1 <br /> BUILDING <br /> PERMIT APPLICATION <br /> r <br /> Existing Use of Building: Contract Price of_Work:$14000 <br /> Proposed Use of Building: ,Heat Source: OGas AElectric ❑Other <br /> I 'ldiftgType � <br /> i -Oetached CFR-Attached ❑Duplex ❑MoI.E.Earlti(y4ofUnits:. ❑Commercial ❑Industrial <br /> Type of Proms ❑New ❑Addition ❑Remodel °Repair OIL- IDSign C(Spr4nl ler ❑Demolition ❑Change of Use <br /> ( DESCRIPTION OF WORK: <br /> i 5 HEAD DUCTLESS <br /> i <br /> 1, <br /> ASSOCIATED BUILDING PERMIT#(if'aipplicable;. „ <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 /> List of Fixtures List of Fixtures List of Fixtures List of Fixtures <br /> Fixtures Fixtures Fixtures' Fixtures <br /> ` A/C-Air Handling•Units 1 Heat Pump Toilet Backflow Preventer(Inside BIdp), <br /> Pot d Air Sytitmst Unit Heater` /Bathtub Urinal <br /> Gas:Piping" Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater ....Refrigeration Shower Floor Drain <br /> bee Fireplace Wood Stove Kitchen Sink&Disposal" Grease Trap . <br /> Gas Range Ducting, Dishwasher Roof,Drains ' <br /> Clothes Dryer HoolKu Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater ,`Other: <br /> Exhaust Fan Sink(Service/Bar/Mopietc ,, ;Other <br /> SPRINKLERI SUPPRESSION SYSTEM <br /> Number of Heads I j <br /> AOI<N,Q ` ?.c,EMENT 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 - >,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 '•.4 befom 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 f co s.iiter the State Contractors Law 18.27 RCW and 298200A WAC,. <br /> Cly of Everett Official Use Only <br /> PERM TT jj <br /> -�' I I/ <br /> 2/8!2019 ���.,. //'„ <br /> ClhNnef/: tt ,€l# Signature t f7F"f0,0,.:#f•j <br />