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PERMIT APPLICATION <br /> BUILDING/ MECHANICAL,/PLUMBING/SIGN/SPRINKLER I DEMOLITION <br /> �„ CITY OF EVERETT PERMIT SERVICES <br /> Y 3200 CEDAR STREET,EVERETT,WA 98201 <br /> I', WASHINGTON (P)425-257-8810 1 FAX 425-257-8857 I(E)everetteps©everettwa.gov I www,everettwa.gov/permits <br /> (Blowor Black Ink Only PIeasa PROJECT.SITE NFORMATION <br /> PROJECT SITE ADDRESS: 7121 Highland Dr `i PROPERTY TAX#: 00392800900702 <br /> LEGAL for new construction: Short Plat/subdivision <br /> Lot Na; (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME. rs. j-n • ,r TENANT BUSINESS NAME(Commercial: <br /> OWNER MAILING ADDRESS: STREET 7121Highland DrSE <br /> CITY EVERETT STATE WA ... ZIP 982a1 <br /> 1 OWNER PHONE: 425 444 4743 OWNI R EMAIL gtseftler.famfy@gmaIl_com <br /> CONTRACTOR NAME: MM COMFORT SYSTEMS <br /> CONTRACTOR ADDRESS: STREET 18103 NE 6811-I ST C-200 <br /> _. CITY REDMOND STATE WA ZIP 98052 <br /> CONTRACTOR PHONE: 425-881-7920 CONTRACTOR EMAIL: PERMITSI MMCOMFORTSYSTEMS.COM <br /> CONTRACTOR LICENSE#(REQUIRED): MMCOMCS85564 JCITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 0 <br /> 055245 <br /> PRIMARY CONTACT: 0 OWNER Ga CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-629-1025 <br /> Jenah Barlow <br /> CONTACT EMAIL: PER MITS@MMCOMFORTSYSTEMS.COM <br /> BUILDING INFORMATION <br /> Existing Use of Building: Contract Price of Work: <br /> 5500 <br /> Proposed Use of Building: Heat Source: OGas ❑Electric IZIOther <br /> BUILDING USE; IISFR ❑Townhouse ❑Du•lex ❑ADU ❑Multi-Famil -#Units: ❑Commercial -❑Accesso Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. �1Sigri ©Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> FURNACE CHANGE OUT <br /> I <br /> 1 ASSOCIATED BUILDING PERMIT#(if applicable). <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture List of Fixtures Fixture Fixture <br /> List of Fixtures List of Fixtures List of Fixtures <br /> Fixture <br /> ( <br /> Count Count Count Count <br /> A/C—Air Handling Units —Gas Piping Backflow Preventers(Inside Bldg) Shower Tub,or Combo <br /> I. <br /> Clothes Washer Sink-Commercial(3-comp.pre ,fl <br /> Boiler Gas Range 00r) <br /> Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitcheri,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> a Exhaust Fans(ResidentialL w Commercial Ventilatior- Floor Drain Toilet <br /> • <br /> (Typ ). (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood e I <br /> f Exhaust Hood(T pe II) Water Heater Interceptor-Grease , Waste/Water Piping Repair <br /> ;I• Exhaust ( ) Interceptor-Sand/011 : Water Service(behind meter) <br /> Forced Air S d Residential Wood Stove v1ed cal Gas Water Valves_or Fixtures <br /> Systems Oth <br /> Gas Fireplacellnsert/Log Roof Drains Water Heater <br /> ?: SPRINKLER I SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water,4UppreSSfOn tystern -No,of Heads <br /> rti Sup' ssrora Sy&tem No.of F�eads.. <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 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> ( ✓ S ( . ) PER{TjD C)42.7....'. 0 0 <br /> (' <br /> I OwnenAuth¢tl , .. Signature Date .fRevised/0/YT�201' <br /> i <br />