603 100TH PL SE 2016-10-25 - Laserfiche WebLink

%� L� � D S pERMIT APPLICATIO BUILDIN ECHANICAL / PLUMBING I SIGN�RINKLER I DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 603 100TH PL SE PROPERTY TAX #_ 00397300000200 LEGALfor newconstruction: Short PlaUsubdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION owrvER rva�nE:RICHARD VANTASSEL TENANT NAME (If Commercial): OWNER MAILING ADDRESS: sTReEr 603 100TH PL SE ��n EVERETT STATE �/q Z�P s82os OWNER PHONE:425-220-5605 OWNER EMAIL: CONTRACTOR NAME; MM COMFORT SYSTEMS CONTRACTOR ADDRESS: sTReEr 18103 NE 68TH ST SE, G200 ��N REDMOND STATE WA Z�P 98052 CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL:JWELLS@MMCOMFORTSYSTEMS.COM CONTRACTOR LICENSE #(REQUIRE�): MMCOMCS85564 CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): OS424O PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE:425-881-7920 JAN ETTE 1NELLS CONTACT EMAIL: JWELLS@MMCOMFORTSYSTEMS.COM BUILDING PERMIT APPLICATION c,-� Existing Use of Building: Contract Price of Work: $'�' Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-# of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: INSTALL SINGLE HEAD DUCTLESS HP SYSTEM ASSOCIATED BUILDING PERMIT # (if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair # of List of Fixtures #�f List of Fixtures #�f List of Fixtures #°f List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C — Air Handling Units � Heat Pump Toilet Backflow Preventer (Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory (Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink & Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink (Service/Bar/Mop/etc.) Other: SPRINKLER / SUPPRESSION SYSTEM Number of Heads ACKNOWLEDGEMENT: I have reviewed this application and confirm the information contained herein is true arxl correct. Work done pursuant to this permit must comply with current federal, state, and loca( law. The granting of a permit only authorizes approved work and no deviations therefrom. Deviations must first be authorized in writing from the Burldirrg Official before being authorized under any circumstance. 1 am the owner, or 1 am authorized by the owner of this property to perform the work for which application is made, and f comp/y with the State Contracfors Law 18.27 RCW and 296.200A WAC. Agent Signature City of Everett O�cial Use Only PERMI�#� 1 � On � ��Hl 8/23/16 1' � 1 V i� ��/ Date (Revised 1 D/12/2015)