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<S- <br /> 19ERMIT APPLICATIO l U 1 S <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: 3022 101ST PL SE PROPERTY TAX# P RMIT# <br /> 008928001400 / 0?6 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER ALEA MICHAELINI Phone/E-mail <br /> Address 3022 101ST PL SE 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.# 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 /> Janette Wells <br /> Phone/E-mail 425-881-7920 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK G LA <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas X 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): <br /> REPLACE GAS FURNACE WITH NEW,LIKE FOR LIKE CHANGE OUT AND ADD ON <br /> NEW HEAT PUMP <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _X_New_Addn X Alteration_Repair Type of Project: _New_Addn _Alteration_Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> A/C—air handling units y 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 j 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 WAG <br /> V <br /> 9/1/15 . -� <br /> r/A ized Agent Si ure Date (Revised 6/2012) <br />