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PERMIT APPLICATIO 2� �� � ��Z— <br />BUILDIN�ECHANICAL / PLUMBING / SIGN�RINKLER / 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: 607 57TH ST SW PROPERTY TAx #: �0901900000900 <br />LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: TENANT NAME (�f Commercial): <br />OWNER MAILING ADDRESS: sTREEr 607 57TH ST SW <br />��n EVERETT STATE WA Z�P 98203 <br />OWNER PHONE:425-877-4440 OWNER EMAIL: <br />CONTRACTOR NAME: MM COMFORT SYSTEMS <br />CONTRACTOR ADDREss: sTReeT 18103 NE 68TH ST SE, C-200 <br />�,n REDMOND STATE WA Z�P 98052 <br />CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAI�: JWELLS@MMCOMFORTSYSTEMS.COM <br />C�NTRACTOR LICENSE #(REQUIRED); MMCOMCS85564 CITY OF EVERETf BUSINESS LICENSE #t{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: $ � <br />Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other <br />Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑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 />GAS FURNACE REPLACEMENT IN SAME LOCATION AND <br />INSTALL NEW A/C UNIT. <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 Fixtures <br />Toilet Backflow Preventer (Inside Bldg) <br />Bathtub Urinal <br />Lavatory (Wash Basin) Drinking Fountain <br />Shower Floor Drain <br />Kitchen Sink 8� Disposal Grease Trap <br />Dishwasher Roof Drains <br />Ciothes Washer Medical Gas <br />Water Heater Other: <br />Sink (Service/Bar/Mop/etc.) Other: <br />ACKNOWLEDGEMENT: 1 have review+ed this application and confirm the information contairred herein is hue arrd correct. Work done pursuant to this permit must comply with <br />current federal, state, and loca! law. The granting of a permit only authonzes approved work and no deviatrons 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 ti�e owner of this property to perform the work for which application is made, <br />and 1 comply wit the Sfate Contractors Law 18.27 RCW and 296.200A WAC. <br />City of Everett Official Use Only <br />PERMIT# <br />/- 7-� ��a1 �o <br />UwnerlAuthorized A ent Sig ure Date (Revised 10/12/2015) <br />