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- �J���,;c,�r2 <br /> PERMIT A€'PLICATION <br /> BUILDING/MECHANICALIPLUMBINGISIGNISPRINKLER/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 �--1 r7-"', � <br /> PROPERTI'TAR11 PERMIT � . �; <br /> SITEADORESS: 29U43600403500 ( .,'(:a " (� � <br /> 5021 Elm 51 <br /> LEGAL for new conslruction�. Strort PlaVsubdniswn Lot No._ (attach copy ol long legal tlescnption) <br /> OWNER �'hilip Eyler Phone/E-mail <br /> naaress 5022 Elm SI Cay/State/Z�p Everett W�98203 <br /> CONTRACTOR MM COfll(Ofl S S12111S If1C. L81 Lic.# MMCOMMC93464 <br /> Aaa�e5: 18103 NE 68th Street Redmond WA 98052 PhoneJEmail 425 881 7920 <br /> TENANT BUSINESS NAME C NTACT FOR PtRMIT <br /> G�ary Heath gheath@mmcom(ortsystems.com <br /> PhonelE-mail 425 629-1033 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK ") `J C�� 6C' _ <br /> Existing Use oi Building HEAT SOURCE: <br /> Proposed Use of Building Gas_ Eiectric_ Other_ <br /> Building type: X Single Family _Duplex_Townhouse _Multi-Family _Commercial <br /> Typeofproject: _XNew _Addition _Remodel _Repair_T.I._Sign,_Sprinkier_Demolition_Change ofUse <br /> Descriplion of Work/addifional space pmvided on the back): <br /> Install a 1 head ductless heat pump <br /> Have you started working without a purmit7 _YES X NO <br /> MECHANICAL PERIVIIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Projecl: x New_Addn _Aileralion_Repair Type of ProJecL• _New_Addn _Alteration_Repair <br /> Show Number(M)olfixtures Show Number(x)of fixmrns <br /> AIC—air handlin units i Toilet <br /> Forced air s stems I Bathtub <br /> Gas pipin I Lavato (wash basin� <br /> Water heater I Shower <br /> Gas tire lace i Kdchen sink&disposal <br /> Gas ran e ' Dishwasher <br /> � Clothes d er ! Clothes washer <br /> I Ran e hood Water heater <br /> 'i Ezhaust fan Smk(serviceibar/mo letc.) <br /> Heat um Back(low reventer <br /> � Unit heater �I Urinal <br /> I Boder I Drinkm Fountain <br /> � Refri eraEon I Floordrain <br /> � Woodstove ; Grease trap <br /> Ductin I Roo(drains <br /> ! Other � Mediwl Gas <br /> SPRINKLER I SUPPRESSION SYSTEM � Other: <br /> � Number of Heads � Other: <br /> I hereby ceNy t�al I have read and examined lhis applicalion antl know ihe same to be Vue and correct.All provisions of laws and ordinances govemmg <br /> thrs type of work will be complied vnth whether speufied herein or not The granting of a pertnit dces not presume lo give authonry to violate or wncel <br /> the pmvislon of any other st2te or local Isw regulating constmction or Ihe pertortnanca of con;lruction.That I am authonzed by Ne ownur of Uus pmperty <br /> m peAormaho work for which application is made and 1 comply with the Stale Contrnctors Law 1627 RCW antl 296200 WAC <br /> ./ r�__� <br /> 2-8-13 <br /> '-�� �Rovlsed?/lott) <br /> ,OwncrlAuthorizetlAgontSig{etura Date <br /> � / <br />