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���I(�O� <br />PERMIT APPLICATIO� <br />BUILDIN�MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits <br />PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: 8530 9TH AVE SE PROPERTY TAX #: 00402500000900 <br />LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br />CONTACT IN�ORMATION <br />owrvER rvAME: TOAN NGUYEN TENANT NAME (If Commercial): <br />OWNER MAILING ADDRESS: sTReer 1203 169TH PL SW <br />��n LYNNWOOD STATE Wq Z�P _�03'7 <br />OWNER PHONE:425-631-9743 OWNER EMAIL: <br />coNT�CTOR NAME: MM COMFORT SYSTEMS <br />CONTRaCTOR ADDRESS: sTREET 18103 NE 68TH ST SE, C-200 <br />�,n REDMOND STAT� WA Z�P 98052 <br />CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL: JWELLS@MMCOMF�RTSYSTEMS.COM <br />CONTRACTOR LICENSE #(REG1uIRED): MMCOMCS85564 CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): OS424O <br />PRIMARY CONTACT: ❑ OWNER � CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: CONTACT PHONE:425-881-7920 <br />JANETTE WELLS CONTACTEMAIL:JWELLS@MMCOMFORTSYSTEMS.COM <br />BUILDING PERMIT APPLICATION <br />Existing Use of Building: Contract Price of Work: $ zs16 <br />Proposed Use of Building: Heat Source: L7c�as ❑Electric ❑Other <br />Building T pe: G�'SFR-Detached ❑SFR-Attached ❑Du lex ❑Multi-Family-# of Units: ❑Commercial ❑Industrial <br />Type of Project: ❑New ❑Addition ❑Remodel ❑Repair __.�T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br />DESCRIPTION OF WORK: <br />f--------'' GAS FURNACE REPLACEMENT, LIKE FOR LIKE ; �,��,,1_ ���L� <br />�1� G�CC ; ��L��. <br />�_�IGC� 11'�.�'-ti1�" �,� <br />ASSOCIATED BUILDING PERMIT # (if applicable): <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New _Addn Alteration Repair <br /># of List of Fixtures # of List of Fixtures <br />Fixtures Fixiures <br />Toilet Backflow Preventer (Inside Bidg) <br />Bathtub Urinal <br />Lavatory (Wash Basin Drinking 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/Mop/etc.) Other: <br />ACKNOWLEDGEMENT: ! have reviewed this application and confirm the information contained herein is true ar�d coriect. Work done pursuant to this permit must comply with <br />cuRent (ederal, state, and Iocal law. The granting of a permit oNy authorfzes approved work and no deviations therefrom. Deviations must first be authorized in vniting 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 ! comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />City of Evereff OfTcial Use Onty <br />PERMIT # � � r � <br />V t/ <br />(Revised 10/12/2015) <br />