Laserfiche WebLink
��� i� _i <br /> 1 � � <br /> PERMIT APPLICATlON <br /> BUILDING/MECHANICAL/PLUMBING/SIGNISPRINKLERIUEMOLITIOM <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 pM TO 4 PM .. 7�'�Z <br /> SITEADDRESS: PROPERNTA7(b (PF.(tMlTt _ --� " <br /> 802 41 st PI 00801900001000 � _ <br /> LEGAL for new construclion�. Short PlaUsuhdivision Lol No.__ (attach capy ot long legal descri0tion) � <br /> OWNER Patrick Check Phone/E-mail 425 257 1157 _ � <br /> Address 802 41 st PI. c��r,s���,z�, Everett WA 98201 <br /> CONTRACTOR MM COfll(Oft S stems Inc. �s i uc.n Mfv1COMMC93454 <br /> Address 18103 NE 68th Street Redmond VJA 98052 Phone/Email 425 881 7920 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Gary Heath gheath@mmcomfortsystems.com <br /> Phone/E-mail 425 629-1033 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK �I1. �r�?f _ <br /> Exisling Use ot Building HEAT SOURCE: <br /> Proposed Use of Building Gas�',_ Eiectr�c__ otncr_ <br /> Building type: X Single Family _Duplex_Townhouse _Multi-Family _Commercial <br /> Type of projecl: X New _Addition _Remodel _Repair_T.I._Sign_Sprinkler_Demolilion_Change of Use <br /> DesC�iption of WorF(addihon�l space piavided m�fhe back)�. <br /> Replace 80% g�s furnace with like in I<ind <br /> +iave you started working without a permit9 _YES x NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypeofPrcjecC , XNew_Addn _Alteralion_Repair �fypoofProJect _Now_Adtln _Alteretlon_Repair <br /> Show Number(tt)ol fixtures Show Number(#)ol�xturcs <br /> AIC—air handlin units To�let <br /> � Forced air systems � Bathtub <br /> ' Gas p�pinq � Lavator (�.vash basin) <br /> � Water heater Shower <br /> ' Gas fireplace � Kitchen sink&disposal <br /> Gas ren e Dishwasher <br /> Clothes d er � Clothes washer <br /> Ran e hood Waler heater <br /> Exhaust�an Sink(service/badmopletc.) <br /> Hea! ump Backllow pre•renter <br /> � Unit heater Urinal <br /> Boiler Drinkin Fountain <br /> Refri eration Floordrain <br /> Woodstove Grease trap <br /> �� Ductin Roof drains <br /> Olher Mediwl Gas <br /> I SPRINKLER I SUPPRESSION SYSTEM Other: <br /> � Number of Heads Other. <br /> I hereby ceN(y Ihat I have reatl and examined this appliwtion antl know ihe same to be We and cor�ect.NI pmvisions of lavrs end ordinances govem�ng <br /> this typo ol wvrk vnll be complied with whether specified herein or noL The grantin8 of a pertnit dces nol presume to give authoriry to vidate or cancel <br /> the pmvision of any olher state or local law rapula6ng wnsGuctiun or the perlormance of consWction.7hat 1 am authonzed by Ne o.mer of Mis properry <br /> lo peAorm the v.ark 1or which application is made arul I compry with lhe State Conlractors law 18.27 RCIN and 296.200 WAC <br /> 11-24-12 <br /> OwnorlAuthadzod Agent Slgnature Oato (Revised 22077) <br />