9106 W MALL DR 2016-08-24 - Laserfiche WebLink

2o��C�S� • PERMIT APPLICATION• BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everetiwa.gov � www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS:9�O6 W MALL WAY PROPERTY TAX #: 00843600003300 LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:DEBRA O AVA TENANT NAME (If Commercial): OWNER MAILING ADDRESS: sTReET 9� 06 W MALL WAY �� EVERETT STATE �/A Z�P 98208 OWNER PHONE:425.760.8256 OWNER EMAIL: cONTw4CTOR NAnne: MM COMFORT SYSTEMS CONTRACTOR ADDRESS: sTReer 18103 NE 68TH ST SE, C-200 �,n REDMOND STATE WA Z�P 98052 CONTRACTOR PHONE: 425-881-7920 CONTRACTOR EMAIL: �WELLS @ MMCOMFORTSYSTEMS.COM CONTRACTOR LICENSE #(REQUIRED): MMCOMCS85564 CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): OS'�240 PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) �oNTA�T NAME. J A N ETT E W E L LS CONTACT PHONE: 425-881-7920 CONTACT EMAI�:JWELLS@MMCOMFORTSYSTEMS.COM BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work: $ 7i �� Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: FR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-# of Units: ❑Commercial ❑Industrial Type of Project: ❑New �Addition ❑Remodel epair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: � �� t,�� yJ�C�'�� Lli(� +�U� LL � � p� a� o�o cV .}-E� �.; P�,� ASSOCIATED BUILDING PERMIT # (if applicable): PLUMBING PERMIT APPLICATION Type of Project: New Addn _Alteration Repair Fixtu es List of Fixtures Fixtu es List of Fixtures Toilet Backflow Preventer (Inside Bldg) Bathtub Urinal Lavatory (Wash Basin) Drinking Fountain Shower Floor Drain Kitchen Sink & Disposal Grease Trap Dishwasher Roof Drains Clothes Washer Medical Gas Water Heater Other: Sink (Service/BadMop/etc.) Other: 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 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 I am author'rzed 6y 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. Agent Signature City of Everett O�cial Use Only PERMIT # �(o � �� C> S-- 6� i (Revised 10/12/2015)