1018 109TH ST SE 2016-09-15 - Laserfiche WebLink

PERMIT APPLICATI N "L BUILDING ECHANICAL/ PLUMBING /SIGN / RINKLER/DEMOLITION CITY OF EVERETT PERMIT SERVICES 4WI7 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everefwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS:1018 109TH ST SE PROPERTY TAX#:00762500002500 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:LARRY HACHTEL TENANT NAME(if Commercial): OWNER MAILING ADDRESS: STREET 1018 109TH ST SE ciTv EVERETT STATE WA zip 98208 OWNER PHONE:425-367-3031 OWNER EMAIL: CONTRACTOR NAME: MM COMFORT SYSTEMS CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 c,Tv REDMOND STATE WA ZIP 98052 CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL:JWELLS@MMCOMFORTSYSTEMS.COM CONTRACTOR LICENSE#(REQUIRED):MMCOMCS85564 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 054240 PRIMARY CONTACT: ❑OWNER ❑ CONTRACTOR ❑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:$4,971 Proposed Use of Building: I Heat Source: []Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached []Duplex ❑Multi-Famil -#of Units: ❑Commercial [Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sin ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: INSTALL SINGLE HEAD DUCTLESS HEAT PUMP SYSTEM ASSOCIATED BUILDING PERMIT# if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: New Addn Alteration 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) 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 d I I ACKNOWLEDGEMENT:1 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 auth rued under any circumstance.1 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 Co r ctors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# 3/14/16 Owner/Au orized gen Date (Revised 10/12/2015)