5103 W HIGHLAND RD 2016-08-05 - Laserfiche WebLink

PERMIT APPLICATION* BUILDINAECHANICAL/PLUMBING /SIGN / SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS:5103 W HIGHLAND RD PROPERTY TAX#:00442200002400 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Andrea Robertson TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTREET5103 W HIGHLAND RD CITY Everett STATE WA ZIP 98203 OWNER PHONE:425-891-1296 OWNER EMAIL: CONTRACTOR NAME: MM COMFORT SYSTEMS CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 CITY REDMOND STATE WA ZIP 980552 CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL:JWELLS@MMCOMFORTSYSTEMS.COM CONTRACTOR LICENSE#(REQUIRED):MMCOMCS85564 CIN OF EVERETT BUSINESS LICENSE#(REQUIRED): 054240 PRIMARY CONTACT: ❑OWNER NTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-881-7920 JANETTE WELLS CONTACT EMAIL:JWELLS@MMCOMFORTSYSTEMS.COM BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$10,428 Proposed Use of Building: Heat Sources ❑Electric ❑Other Building Type: R-Detached ❑SFR-Attached ❑Du lex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ddition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: GAS FURNACE REPLACEMENT IN SAME LOCATION AND ADD ON A NEW HEAT PUMP ASSOCIATED BUILDING PERMIT# if applicable): MECHANICAL PE IT AP CATION PLUMBING PERMIT APPLICATION Type of Project: New Addn Iteration Repair Type of Project: New Addn Alteration Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units 1 Heat Pump Toilet Backflow Preventer(Inside Bldg) 1 Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory Wash Basin Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM Number of Heads ACKNOWLEDGEMENT.I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this perrret must comply with 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 Building 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, and I comply with the State Cont r tors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PER T 2/12/16 L Owne A hon Ag t Signatur Date (Revised 10/12/2015)