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20Pbot (o� <br /> PERMIT APPLICATION. <br /> BUILDIN 11ECHANICAL/PLUMBING /SIGN I INKLER/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.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:5428 25TH AVE W PROPERTY TAX#:00813500005700 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT'INFORMATION' <br /> OWNER NAME: CINDY&STEPHEN HEGGE TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: sTREET 5428 25TH AVE W <br /> CITY EVERETT STATE WA ZIP 98203 <br /> OWNER PHONE:425-387-1055 OWNER EMAIL: <br /> CONTRACTOR NAME: MM COMFORT SYSTEMS <br /> CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE,C-200 <br /> CITY REDMOND STATE WA ZIP 98052 <br /> CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL:JWELLS@MMCOMFORTSYSTEMS.COM <br /> CONTRACTOR LICENSE#(REOUIRED):MMCOMCS85564 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 054240 <br /> PRIMARY CONTACT: ❑OWNERtTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-881-7920 <br /> JAN ETTE WELLS CONTACT EMAIL:JWELLS@MMCOMFORTSYSTEMS.COM <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Contract Price of Work:$11,827 <br /> Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other <br /> Building Type:jig R-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: OCommercial ❑Industrial <br /> Type of Project:CeNew ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign OSprinkler ❑Demolition la enge oft?!t I1ICIGQ <br /> DESCRIPTION OF WORK: r <br /> install gas furnace, like for like in the same location and install new <br /> heat pump <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANIcACFERMIT AP 1CATION' PLUMBING PERMIT APPLICATION <br /> Type of Project: Lew_ Addn Iteration _Repair Type of Project: _New _Addn _Alteration _Repair <br /> #of List of Fixtures #of List of Fixtures List of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> NC—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> 1 Forced Air Systems 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 Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/SUPPRESSION.SYSTEM <br /> I Number 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 /> Buildkrg Official before being authorized under any circumstance.I am the owner,or 1 am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the • :e Contractors Law 18.27 RCW and 298.200A WAC. <br /> City of Everett Official Use Only <br /> PER IT# <br /> ��� MIioUa- t <br /> A 1Y� :/Agent Si• Dae (Revised 10/12/2015) Pi(� <br />