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i <br /> PERMIT APPLICATION <br /> BUILDING 1 MECHANICAL/ PLUMBING/SIGN/SPRINKLER/DEMOLITION <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.everettwaegov/permits <br /> PROJECT SITE INFORMATION <br /> 'PROJECTSITE ADDRESS:4827 Delaware Ave PROPERTY TAX#: 00410200011000 <br /> LEGAL for new construction: Short Plat/subdivisiony . Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> I OWNER NAME:Richard Slovak TENANT NAME(If Commercial):, <br /> OWNER MAILING ADDRESS: STREET 4827 Delaware Ave <br /> i CITY EVERETT STATE WA ZIP 98203 <br /> i <br /> I; OWNER PHONE:425 355 9084 OWNER EMAIL:richard)slovek@gmail.com <br /> CONTRACTOR NAME: MM COMFORT SYSTEMS <br /> CONTRACTOR ADDRESS. sTREEr 18103 NE 68TH ST SE, C-200 <br /> i - Cly REDMOND STATE WA ZIP 98052 <br /> CONTRACTOR PHONE:425)252-9876 CONTRACTOR EMAIL:permits@mmcomfortsystems.com <br /> CONTRACTOR LICENSE#(REQUIRED).MMCOMCS85564 ,CITY OF EVERETT BUSINESS LICENSE#{REQUIR 0555245 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-881-7920 <br /> JENAH BARLOW <br /> CONTACT EMAIL:permits@mmcomfortsystems.com <br /> i BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Contract Price of Work:$7500 <br /> ' Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached "SFR-Attached ❑Duptex ❑Multi-Faimiy of,Units:. ❑Commercial ❑Industrial <br /> :Type of Pr ct: ❑New Addition ❑Remodiel Repair ❑T.I., ❑Sin tiSp1'nkter ❑Demolition OChan of Use <br /> DESCRIPTION OF WORK: FURNACE CHANGE OUT , ADD AC <br /> iASSOCIATED 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 #of #of #of <br /> List of Fixtures List of Fixtures List of Fixtures List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> rAZC—Air Handling Units .Heat Pump Toilet Backflow Preventer.(Inside Bldg) <br /> of d Air <br /> Cite— <br /> Unit Heater Bathtub Urinal <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 Sinke <br /> (Servrike113artlVitfatc. Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> INumber 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 Off' 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!complyw :the State Contractors Law 18.27 RCW and 298.200A WAC, <br /> City of Everett Official Use Only <br /> PEI # <br /> 4/7/2019 <br /> Ownee,utt.Ior.' Agent Sign re m: Da <br /> CRevtsed r oro: <br />