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5607 BEVERLY LN 2016-07-29
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5607 BEVERLY LN 2016-07-29
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Last modified
7/29/2016 2:01:12 PM
Creation date
7/29/2016 2:01:11 PM
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Address Document
Street Name
BEVERLY LN
Street Number
5607
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PERMIT APPLICATICm <br /> BUIILDIECHANICAL/ PLUMBING /SIGKPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE ADDRESS:5607 BEVERLY LANE PROPERTY TAX#:00471700004701 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER NAME: CAROLYN MINCKLER TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREEr5607 BEVERLY LANE <br /> CITY EVERETT STATE WA ZIP 98203 <br /> OWNER PHONE:425-244-0191 OWNER EMAIL: <br /> CONTRACTOR NAME: MM COMFORT SYSTEMS <br /> CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 <br /> GTr REDMOND STATE WA ZIP 98052 <br /> CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL:DWELLS@MMCOMFORTSYSTEMS.COM <br /> CONTRACTOR LICENSE#(REQUIRED):MMCOMCS85564 'CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 054240 <br /> PRIMARY CONTACT: ❑OWNER NTRACTOR 0 OTHER(Please Specify) ' <br /> CONTACT NAME: n c CONTACT PHONE:425-881-7920 <br /> JAN ETTE WELLS CONTACT EMAIL:JWELLS@MMCOMFORTSYSTEMS.COM <br /> Existing Use of Building: Contract Price of Work:$10,093 <br /> Proposed Use of Building: Heat Source: ❑Gas DElectric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair On. ❑Sign ❑Sprinkler ❑Demolition OChange of Use <br /> DESCRIPTION OF WORK: <br /> REPLACE ELECTRIC FURNACE WITH NEW AND INSTALL <br /> NEW HEAT PUMP <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT AP LICATIl _ ' `= r.... PL JMBiI RL.PERMITAPPUCA lON <br /> Type of Project: _New _ Addn Alteration _Repair Type of Project: _New Addn Alteration _Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> NC—Air Handling Units I Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> 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 /> 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 /> Building Official before being authorized under any circumstance,lam the owner,ort am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contracto Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> lA„ 2/1/16 PERMIT#YV\ t(dO2OO <br /> Owner/Autho - - — Date (Revised 10/12/2015) 1 i 1- <br />
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