5422 25TH AVE W 2017-03-10 - Laserfiche WebLink

27-0 (C2_0(1(4 477 RMIT bERMIT APPLICATION BUILDIN ITMECHANICAL/ PLUMBING / SIGN / FeRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS:5422 25TH AVE W PROPERTY TAX#:00813500005800 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:PATRIS MARANDI TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET5422 25TH AVE W CITY EVERETT STATE WA ZIP 98203 OWNER PHONE:425-407-0544 OWNER EMAIL: CONTRACTOR NAME: MM COMFORT SYSTEMS CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 CITY REDMOND STATE WA ZIP 98052 CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL:JWELLS@MMCOMFORTSYSTEMS.COM CONTRACTOR LICENSE#(REQUIRED):MMCOMCS85564 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 054240 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-881-7920 JAN ETTE WELLS CONTACT EMAIL:JWELLS@MMCOMFORTSYSTEMS.COM BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$13044 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: REPLACE GAS FURANCE AND INSTALL HEAT PUMP ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PFRMIT APPLICATIO)' PLUMBING PERMIT APPLICATION Type of Project: _New t/ Addn - Alteration ' epair Type of Project: _New Addn _Alteration Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures NC—Air Handling Units tj 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:f have reviewed this application and confirm the information contained herein is true and correct.Work done pursuant to this permit must comply with 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 Building Official before bein.authorized under any circumstance.I am the owner,or I am authorized by the owner of this property to perform the work for which application is made, and i comply with the to•.ntractors Law 1 CW and 296.200A WA C. City of Everett Official Use Only PERT 0\(7.1 Owner/Auth. . ed Age Signat - Date (Revised 10/12/2015)