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2-oZ ( <br /> OERMIT APPLICATIOP <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.E:verettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS: PROPERTY TAX# PERMIT# <br /> 6126 BROADWAY 00544801101901 �/�� <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER VINCENT MOORE Phone/E-mail 425-770-7830 <br /> Address 6126 BROADWAY ' E City/State/Zip EVERETT, WA 98203 <br /> APPLICANT: Owner Owner's Agent X Contractor Contractor's Agent _Tenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR MM COMFORT SYSTEMS I L&I Lic. # MMCOMMC934134 COE Bus. Lic.# <br /> Address 18103 NE 68TH ST, C-200 REDMOND 98052 Phone/Email 425-881-7920 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> JANET CHELGREN <br /> Phone/E-mail 425-881-7920 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 8,1015 <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas_ Electric_ Other_ <br /> Building type: X Single Family _Duplex_Townhouse _Multi-Family _Commercial <br /> Type of project: New —Addition _Remodel _Repair_T.I._Sign_Sprinkler_Demolition_Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> INSTALL NEW 3 HEAD DUCTLESS HEAT PUMP SYSTEM <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_Addn _Alteration_Repair Type of Project: _New_Addn _Alteration_Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> A/C–air handling units Toilet <br /> Forced air systems Bathtub <br /> Gas piping Lavatory(wash basin) <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hood Water heater <br /> Exhaust fan Sink(service/bar/mop/etc.) <br /> t Heat pump Backflow prevent:er <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> Number of Heads Other: <br /> I hereby certify that I have read and examined this application and know the same to be true and correct.All provisions of laws and ordinances governing this type of work will be complied <br /> with whether specified herein or not.The g ranting of a permit does not presume to give authority to violate or cancel the provision o f any other state or local law regulating construction <br /> That I am authorized b the owner of this property to perform the work for which application is made and 1 comply with the State Contractors L aw 18.27 RCW and 296.200A WAC. <br /> l <br /> O ter/ I ignature Efate (Revised 6/2012) <br />