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PERMIT APPLICATION <br /> iolow <br /> BUILDING I MECHANICAL/ PLUMBING /SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> ` 1 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 wwweverettwa.gov/permits <br /> PROJECT SITEINFORMATON <br /> PROJECT SITE ADDRESS: PROPERTY TAX#: <br /> 5106 Wilmington ST 00410200005500 <br /> V <br /> LEGAL for new construction: Short Plat/subdivision _ Lot Nom (attach copy of long legal description) <br /> ? CONTACT INFORMATION <br /> I OWNER NAME:Barry Chrisman TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 5106 Wilmington ST <br /> CITY EVERETT STATE WA ZIP 98203 <br /> OWNER PHONE:425-252-7201 <br /> OWNER EMAIL:bckcmc.ev@gmail.com <br /> CONTRACTOR_NAME MM COMFORT SYSTEMS <br /> ............. <br /> CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 <br /> I <br /> 1 CITY REDMOND STATE WA ZIP 98052 <br /> CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL:permits@mmcomfortsystems.com <br /> CONTRACTOR LICENSE#(REQU11 o):.MMCOMCS85564 CITY OF EVERETT BUSINESS LICENSE#`(REQUIREDy 055245 <br /> PRIMARY CONTACT: ❑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 /> BUILDING PERMIT APPLICATION ':, .;:! <br /> ;Existing Use of Building.' Contract Price of Work;...$10,000 <br /> Proposed Use of Building:; Heat Source OGas ❑Electric DOther <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> i T •e of Pro'ect: ❑New ❑Addition ❑Remodel ❑Re•air ❑T„I;: ❑Sian ❑S•rinkler ❑Demolition ❑Chan•e of Use <br /> DESCRIPTION OF WORK: __ ._ <br /> . . <br /> 36,000 BTU INVERTER DRIVE HEAT PUMP <br /> ASSOCIATED BUILDING PERMIT#(if applicable _::;. ,_ <br /> MECHANICAL PERMIT APPLICATION '' ', PLUMBING PERMIT APPLIC`AtTION ,. <br /> 1 Type of Project _New _ Addn Alteration _Repair Type of Project _New _Addn aAlteration _Repair <br /> #of List of Fixtures #of List of Fixtures #'of List of Fixtures #of List of Fixtures <br /> i FixturesFixtures Fixtures,: Fixtures <br /> .NO—Air tiandlin9 Units i Heat Pump .Toilet Backflow Preventer jlnsideBldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping ` Boiler `Lavatory(Wash Basing Drinking.Fountain <br /> Water Heater __ Refrigeration Shower Floor Drain <br /> i <br /> Gas Fireplace 'Wood Stove Kitchen Sink&Disposal Grease Trap <br /> S - Gita 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/Map[etc,t -O,ther: <br /> ` xSPRINKLER I,SUPPRESSION.sYSTEM <br /> 1Number of Heads I <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 a :... being authorized under any circumstance,I am the owner,or/em authorized by the owner of this property to perform the work for which application is made, <br /> and I r the State Contractors Law 18;27 RCW and 296,200A WAC, <br /> CrtyofEverett Official Use Only <br /> PERM! <br /> 10/23/2018 [D—... 0 <br /> 1 I \ <br /> .Owns WA = 'rfxad Agent Signature Date (Revised 10/12/201 <br />