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2-0 OLI Z7b <br />PERMIT APPLICATIO <br />BUILDING / MECHANICAL / PLUMBING / SIGN I PRINKLER / DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />OL 3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br />PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: 1206 100TH CT SE <br />PROPERTY TAX #: 0108270001100 <br />LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME:GRACE TING TENANT NAME (If Commercial): <br />OWNER MAILING ADDRESS: sTREET 1206 100TH CT SE <br />ciTr EVERETT STATE WA zip 98208 <br />OWNER PHONE: 206-618-4022 <br />OWNER EMAIL: <br />CONTRACTOR NAME: MM COMFORT SYSTEMS <br />CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 <br />ciTv REDMOND STATE WA ZIP 98052 <br />CONTRACTOR PHONE: 425-881-7920 <br />CONTRACTOR EMAIL: JWELLS@MMCOMFORTSYSTEMS.COM <br />CONTRACTOR LICENSE #(REQUIRED): MMCOMCS85564 <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 054240 <br />PRIMARY CONTACT: ❑ OWNER NTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />JANETTE WELLS <br />CONTACT PHONE: 425-881-7920 <br />CONTACT EMAIL:JWELLS@MMCOMFORTSYSTEMS.COM <br />BUILDING PERMIT APPLICATION AA <br />Existing Use of Building: Contract Price of Work: $ <br />Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other <br />Building Type: -Detached ❑SFR -Attached []Duplex ❑Multi-Famil -# of Units: ❑Commercial ❑Industrial <br />Type of Project: ❑Addition []Remodel ❑Repair ❑T.I. []Sign ❑Sprinkler ❑Demolition []Change of Use <br />DESCRIPTION OF WORK: <br />INSTALL NEW AC UNIT <br />ASSOCIATED BUILDING PERMIT # (if applicable): <br />MECHA ICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project: New Addn Alteration Repair <br />Type of Project: New Addn _Alteration _Repair <br /># of List of Fixtures # of List of Fixtures <br />Fixtures Fixtures <br /># of List of Fixtures # of List of Fixtures <br />Fixtures Fixtures <br />1 A/C — Air Handling Units Heat Pump <br />Toilet Backflow Preventer (Inside Bldg) <br />Forced Air Systems Unit Heater <br />Bathtub Urinal <br />Gas Piping Boiler <br />Lavatory (Wash Basin) Drinking Fountain <br />Water Heater Refrigeration <br />Shower Floor Drain <br />Gas Fireplace Wood Stove <br />Kitchen Sink & Disposal lGrease Trap <br />Gas Range Ducting <br />Dishwasher Roof Drains <br />Clothes Dryer Hookups Other: <br />Clothes Washer Medical Gas <br />Range Hood <br />Water Heater Other: <br />Exhaust Fan <br />Sink (Service/Bar/Mop/etc.) Other: <br />SPRINKLER / SUPPRESSION SYSTEM <br />Number of Heads <br />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 <br />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 <br />Building Official before being authorized under any circumstance. I am the owner, or 1 am authorized by the owner of this property to perform the work for which application is made, <br />and 1 comply the State Contractors Law 18.27 RC W and 296.200A WAC. <br />City of Everett Official Use Only <br />Z (�:D PERMIT # , cl 1 <br />4/25/16 <br />Owner/Authorize ent Sign - Date (Revised 10/12/2015) <br />