Laserfiche WebLink
�o��oc��l�S <br />• PERM IT APPLICATION• <br />BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3204 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8&10 � FAX 425-257-8857 �(E) everetteps(a�everettvra.qov � www.everettwa.govlpermits <br />PROJECT SfTE INFORMATION <br />Pi.�.IECT SITE AD�REss:2903 RIVERVIEW BLVD P�'OPERTY TAX #: 00603700008500 <br />LEGAI for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) <br />COrNTACT INFORMATION <br />owNER NAME:DAVID PARKS TENANT NAME (If Commercial): <br />OWNER MAILING ADDRESS: sTREer2903 RIVERVIEW BLVD <br />��n EVERETT STATE Wq Z�P 98203 <br />oWNER PHONE:425-319-1400 OWNER EMAIL: <br />CONTRACTOR NAME: MM COMFORT SYSTEMS <br />CONTRACTOR ADDRESS: sTReeT 18103 NE 68TH ST SE, G200 <br />�,n REDMOND STATE WA Z�P 98052 <br />CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMA�L: JWELLS@MMCOMFORTSYSTEMS.COM <br />CONTRACTOR LICENSE #(REQUIRED): MMCOMCS85564 CITY OF EVERETf BUSINESS LICENSE #{REQUIRED): OS4�4O <br />PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: ��N ET 1 C WELLS CONTACT EMAILEJWEL S@MMCOMFORTSYSTEMS.COM <br />BUILDING PERMIT APPLICATION <br />Existing Use of Building: Contract Price of Work: $ 6,�29 <br />Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other <br />Buildin Type: [3,�FR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-# of Units: ❑Commercial �Industrial <br />Type of Project: ❑New dition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br />DESCRIPTION OF WORK: <br />INSTALL NEW A/C UNIT <br />ASSdCIATED BUILDtNG PERMIT #(if a plicable : <br />PLUMBING PERMIT APPLICATION <br />Type of Project: New Addn Alteration Repair <br /># of List of Fixtures # of List of Frxtures <br />Fixtures Fixtures <br />Toilet Backflow Preventer (Inside Bidg) <br />Bathtub Urinal <br />Lavatory (Wash Basin) Drinkin Fountain <br />Shower Floor Drain <br />Kitchen Sink & Disposal Grease Trap <br />Dishwasher Roof Drains <br />Clothes Washer Medical Gas <br />Water Heater Other: <br />Sink (Service/Bar/Mopletc.) Other: <br />ACKNOVVLEDGEMENT. ! have reviewed this applicatian and confirm the information wntained herein is true and conect Work done pursuant to this permit must comply wrfh <br />current federal, state, and tocat law. The granting of a permit onty auYhorizes approved work and no deviations therefrom. Deviations must first be auYhorized in writing from the <br />Building Of(rcial befo�e being authorized unde any circumstance. I am the owner, oi! am authorized by the owner of this properiy to perform the work for which application is made, <br />and l comply with the State Contr�tors L 18.27 RCW and 296.200A WAC. <br />`_,� Cify of Everetf Officiaf Use Only <br />_� 5/20/16 <br />OwnerlAuthorized <br />Date <br />PERMIT # <br />vV(, � � 05 - D� � <br />(Revised 10/12/20i5J <br />