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Zo�s�c�� <br />� � <br />PERMIT APPLICATION <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: PROPERTY TAX # PERMIT # <br />2623 98TH PL SE 28051700311300 � i�, ��, y <br />LEGAL for new construction: Short Piatlsubdivision Lot No. (attach copy of long legal description) <br />oWNER TUAN NGUYEN Phone/E-mail 425-595-0434 <br />Address 2623 98TH PL SE City/State/Zip EVERETT, WA 98208 <br />APPLICANT: _ Owner _ Owner's Agent X COf1tf8CYOf _ CO�tfBCtOf S A9ef1Y _ T2f18f1t (must provide a letter of consent from the owner to oo work in ihe space) <br />corvrRacTOR MM COMF�RT SYSTEMS L& I Lic. # MMCOMMC934B4 COE Bus. Lic. # 054240 <br />Address 18103 NE 68TH ST> C-200 REDMOND 98052 Phone/Email 425-8$1-7920 <br />TENANT BUSINESS NAME CONTACT FOR PERMIT <br />AMANDA EISTER <br />PhonelE-mail 42$-$$1-792Q <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK ,�t : c`'' <br />Existing Use of Building <br />Proposed Use of Building <br />Building type: X Single Family _ Duplex _Townhouse _ Multi-Family <br />Type of project: �w Addition Remodel Repair _ T.I. <br />DESCRIPTION OF WORK (additfonal space provided on the back): <br />INSTALL NEW A/C ONTO EXISTING FURNACE <br />MECHANI�AL PERMIT APPLICATION <br />of Project: _New_Addn _Alteration _Repair <br />Show Num #J of Fxtures <br />� ; A/C air handling units <br />Forced air svstems <br />r <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Commercial <br />HEAT SOURCE: <br />Electric Othe <br />Chanae of Use <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New_Addn _Alteration _Repair <br />Show Number (#) of fix[ures <br />Toilet <br />Bathtub <br />Kitchen sink & d <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/ba <br />Backflow prever <br />Urinal <br />Other Medical Gas <br />SPRINKLER / SUPPRESSION SYSTEM ' Other: <br />Number of Heads I 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 goveminc� this type of work will be complied <br />with whether spec�ed herei or not The granti a per it does not presume to give authority to violate or cancel the provision of any other state or local Iaw regulating construction <br />That I am authonzed by th wner of thi operty to perfor the work for which application is made and I comply with the State Contractors Law 1827 RCW and 296200A WAC. <br />8/3/15 <br />Owner/Authorj�ed AgF�nt Signature <br />Date <br />(Revised 6/2012) <br />