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0 0 20l 5`L0-7 �S <br /> PERMIT APPLICATION <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.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS: T00451EEQQ-701 <br /> ROPERTY TAX# P IT# <br /> 3foot Ave, T ��.-,,� <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER `` Phone/E-mail -(-25-c(2:3-q2-75 <br /> Address ,� (, Caw\ <br /> V 7 t e,, City/State/Zip 'bJeVC--4V WA 98 ZD <br /> APPLICANT: Owner Owner's Agent X Contractor Contractor's Agent _Tenant(must provide a letter of consent from the owner to do work m the space) <br /> CONTRACTOR MM COMFORT SYSTEMS T&I Lic # MMCOMMC934B4 COE Bus. Lic.# 054240 <br /> Address 18103 NE 68TH ST, C-200 REDMOND 98052 Phone/Email 425-881-7920 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> AMANDA EISTER <br /> Phone/E-mail 425-881-7920 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 14 . 45 <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.1._Sign_Sprinkler_Demolition_Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): f <br /> Re-- aS�uVwo-Ge vJi-ll�1 V1eWf Uk�oar- Ince <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 /> Heat pump Backflow preventer <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 granting of a permit does not presume to give authority to violate or cancel the provision of any other state or local law regulating construction <br /> That I am authorized by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> O eruthoriz d Ignature Date (Revised 6/2012) <br />