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4111 • <br /> NM PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN /SPRINKLER/DEMOLITION <br /> E E E CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa,gov I wwweverettwa,gov/permits <br /> fahitiii sit Black Ink Only,Photo) . PROJECT SITE INFORMATION <br /> a 282'I`1 D6TH ST SE PROJECT SITE ADDRESS: PROPERTY TAX#: 00852700005100 <br /> LEGAL for new construction: Short Plat/subdivision Lot No, (attach copy of long legal description) <br /> , <br /> CONTACT INFORMATION. <br /> OWNER NAME: Brian Colligs -- TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: MEET 2a2t�asTH ST SE <br /> CITY EV£rjETT STATE,..,. WA ZIP.... ... f1f)298 <br /> _.. -.. <br /> OitCVER PHONE: 757 344-3618 OWNER EMAIL: ttt€&1ah'658aod,com <br /> CONTRACTOR NAME: MM COMFORT SYSTEMS <br /> CONTRACTOR ADDRESS:, STIteEr 18103 NE 68TH ST C-200 <br /> CITY.., REDMOND ___ - STATE WA ZIP 98052 <br /> CONTRACTOR PHONE: 425-881-7920 TCONTRACTOR EMAIL: PERMITS@MMCOMFORTSYSTEMS.COM <br /> CONTRACTOR LICENSE#1?(REOUIRED) MMCOMCS85564 ,CITY OF EVERETT BUSINESS LICENSE*(REQUIRED): 055245 <br /> PRIMARY CONTACT: DOWNER IR]CONTRACTOR ❑OTHER(Please Specify)....„ <br /> CONTACT NAME: Jenah Barlow CONTACT PHONE: 425-629-1025 <br /> CONTACT EMAIL: PERMITS©MMCOMFORTSYSTEMS.COM <br /> BUILDING INFORMATION <br /> Existing Use of Building: F'Contract Price of Work $TM 5500 <br /> Proposed Use of Building: Heat Source; C1Gas ❑Electric. !Other <br /> -BUILDING USE ®SFR OTownhouse ❑Duplex DADU ❑Multi-Family-#Units: C3Commercial ❑Accessory Structure <br /> Ty e of Project: ❑New ❑Addition ❑Remo del ❑Repair DTI. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> AIR HANDLER CHANGE OUT ADD HP <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture ` Fixture ' Fixture Fixture <br /> Count List of Fixtures Co am List of Fixtures Count List of Fixtures Count List of Fixtures <br /> , <br /> I A/C—AirHandlingUnits °Gas Piping Backflow:Preventer.(Inside Bldg) Shower,Tub„or Combo, <br /> Boiler Gas Range .,., Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct <br /> System:Remodel) <br /> Refrigeration Drinking Fountain _: Sink-Utility,laundry,mop <br /> Exhaust <br /> (Residential) Commercial Ventilatior: Floor Drain Toilet <br /> Exhaust Hood(Type I);, (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) .. Water Heater- Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> t Forced Air Systems Other: Medical Gas " Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof Drains Water Heater <br /> SPRINKLER I SUPPRESSION SYSTEM, Sewage Ejector or Sump Pump Other <br /> Oiler ge0Preaskiff aystom I o,o' lea s <br /> Chen11caf dirppr On,*'st No,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 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_ r <br /> PER T# <br /> Q r Authorize Agent Signature hate (Revised 1 0110/2 0 18) .. <br />