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� <br />Zo � � 1 � �7Z� <br />� <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGNISPRINKLER/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 />512 72ND ST SE <br />fornewconstruction: ShortPlat/su <br />ER JAMES VAIL <br />;s 512 72ND ST SE <br />ERTY TAX # <br />28050700203500 <br />No. (attach copy of long legal description) <br />Phone�E-mai� 206-949-9517 <br />cityistateiziP EVERETT, WA 98203 <br />� <br />PLICANT: _ Owner _ Owner's Agent X Contractof _ Coflt�acto� s Agent _ Tenant (must provide a letter ot consent from the owner to do work in the space) <br />�NTw4croR MM COMFORT SYSTEMS L& I Lic. # MMCOMMC934B4 COE Bus. Lic. # 054240 <br />dress 18103 NE 68TH ST, C-200 REDMOND 98052 Phone/Emai� 425-881-7920 <br />:NANT BUSINESS NAME CONTACT FOR PERMIT <br />Janette Wells <br />Phone/E-mail 425- 81-7920 <br />UILDING PERMIT APPLICATION CONTRACT PRICE OF WORK __ 'L , B �� <br />Existing Use of Building <br />Proposed Use of Buiiding � <br />Building type: X Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />Type of project: New Addition Remodel Repair _ T.1. _ Sign _Sprinkler <br />DESCRIPTION OF WORK (addr6onal space provided on the back) : <br />INSTALL TWO DUCTLESS HEAT PUMP SYSTEMS <br />MECHAN{CAL PERMIT APPLICATION <br />Type of Project: "New_Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />'L Heat pump <br />Unit heater <br />Boiler <br />Other <br />SPRINKLER / SUPPRESSION SYSTEM <br />Number of Heads <br />HEAT SOURCE: <br />_ Electric Other <br />olition Chanpe of Use <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New_Addn _Aiteration _Repair <br />Show Number (#) of �xtures <br />Toilet <br />Bathtub <br />Shower <br />Kitchen sink & d <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/ba <br />Backflow prever <br />Urinal <br />Drinkina Fountai <br />�rease uap <br />Roof drains <br />Medical Gas <br />Other: <br />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 goveming this type of work will be compiied <br />with whether spec�ed herein or ot. The granting of a t presume to give authonty to violate or cancel the provision of any other state or local law regulating construction <br />That i am authonzed by the ow of this prope o perfo r forwhich application is made and I complywith the State Contractors Law'1827 RCW and 296200A WAC <br />/ <br />Owner/Authorize ge ' na e Date (Revised 6/2012) <br />