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PERMIT APPLICATIOI'� <br />BUILDIN�MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits <br />PROJECT SITE INFORMATION <br />PRo�ECT s�TE AD�REss:1925 MELVIN AVE PROPERTY TAX #: 00544700102901 <br />LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br />CONTACT INFORMATION <br />owNER NAME:MARVIN PATTERSON TENANT NAME (If Commercial): <br />OWNER MAILING ADDRESS: srReET 1925 MELVIN AVE <br />arr EVERETT sr,nre �/1/A zia 98203 <br />OWNER PHONE:425-210-6630 OWNER EMAIL: <br />CONTRACTOR NAME: MM COMFORT SYSTEMS <br />CONTRACTOR ADDRESS: srReEr 18103 NE 68TH ST SE, C-200 <br />�,n REDMOND ,TATE WA Z�P 98052 <br />CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL: JWELLS@MMCOMFORTSYSTEMS.COM <br />CONTRACTOR LICENSE #(REQUIRED): MMCOMCS85564 CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): OS4Z4O <br />PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) <br />CONTAGT NAME: CONTACT PHONE:425-881-7920 <br />JANETTE WELLS CONTACTEMAIL:JWELLS@MMCOMFORTSYSTEMS.COM <br />BUILDING PERMIT APPLICATION <br />Existing Use of Building: Contract Price of Work: $ �j , 51U �% <br />Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other <br />Buildin T pe: �vFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-# of Units: ❑Commercial ❑Industriai <br />Type of Project: �d'ev,� ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br />DESCRIPTION OF WORK: <br />INSTALL NEW A/C UNIT <br />ASSOCIATED BUILDING PERMIT # (if applicable): <br />PLUMBING PERMIT APPLICATION <br />Type of Project: New Addn Alteration Repair <br /># of List of Fi�ctures # of List of Fixtures <br />Fixtures Fixtures <br />Toilet Backflow Preventer (Inside Bldg) <br />Bathtub Urinal <br />Lavatory (Wash Basin Drinkin Fountain <br />Shower Floor Drain <br />Kitchen Sink & Dis osal Grease Trap <br />Dishwasher Roof Drains <br />Clothes Washer Medical Gas <br />Water Heater Other: <br />Sink (Service/Bar/Mop/etc.) Other: <br />ACKNOWLEDGEMENT: 1 have reviewed this application and contrrm the information contained herein is true and correct. Work done pursuant to this permit must comply with <br />current federal, state, and local law. The granting of a permit only authorizes approved work and no deviations therefrom. Deviations must first be authorrzed in wrding from the <br />Building Offrcial be eing authorized under any circumstance. I arn the owner, or! am authorized by the owner of this property to perform the worfc for which application is made, <br />and ! compiy ' i the Sta Contractors Law 18.27 RCW and 296.200A WAC. <br />5/9/16 <br />Agent Signaturg� _ Date <br />City of Everett Official Use Only <br />PERMIT <br />���f ��v <br />(Revrsed 10/12/2015) <br />