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- �.. <br /> PERMIT APPLICATION <br /> BUILDING/MECHE►NICALIPLUMBING/SIGN/SPRINKLER/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 /> APPLlCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM n�.� ; <br /> SITEA�DR540423rdAveW P�U�/�48��1800 PERMITIIr, � _U�. <br /> LEGAL tor new wnstmcliort Short PlaVsuDtlivision_ Lot No._ (attach copy of long legal descnplion) <br /> OWNER Harvey Cherv✓ick phone�E-mail 425 348 8818 <br /> ndaress 5404 23rd Ave W Ciry�stare2ip Evefett WA 98203 <br /> coNrr�ncroR MM Comfort S stems Inc. �a i uc u MMCOMMC934B4 <br /> Aaa�eSs 18103 NE 68th Street Redmond WA 98052 PhonelEmail 425 881 7920 <br /> TENAN"BUSINESS NAME CQ NTAC�TFOR PERMIT <br /> c�ary tieath gheath@mmcomfortsystems.com <br /> �honPJ[-mail 425 629-1033 <br /> BUILDING PERMIT APPLICATION CON7RACT PRICe oF wORK 10,010.00 <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building. Gas x Eiectric_ Other_. <br /> Building type�. x Single Family _Duplex_Townhouse _Mulli-Family _C.�mmercial <br /> Type of project: X New _Addilion _Remodel _Repair_T.I._Sign_Sprinkler_Demolition_Change of Use <br /> Descfip�ion of Work(aCditional space pmvided on fhe hack/: <br /> Replace 2 high efficiency gas furnace��-,ith 2 high efficiency gas fumaces located in mechanical room on lov�er <br /> level o(the home. <br /> Have you started working without a pertnit7 _YES X NO <br /> MECNANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypeofProject: x Nuw_Addn _Alteretion_Repair Typeof Project: _New_Addn _Alteration_Repair <br /> Show Number(#)o/fixtures Show Number/Y)o/firtures <br /> I A/C—airhandlingunits I Toilet <br /> Forced air s stems � Bathlub <br /> � Gas i in I Lavato (wash basin <br /> � Water heater I Shower <br /> I Gas fire lace I Kitchen sink 8 dis osal <br /> I Gas ran e I Dishwasher <br /> I Clolhes d er I Clothes washer <br /> j Ran e hood I Waler heater <br /> I Exhaust fan I Sink(service/badmo letc. <br /> Heat um I BackFlow reventer <br /> I Unit healer I Urinal <br /> Boiler I Drinkin Fountain <br /> i Refri eration I Floor drain <br /> Woodstove � Grease tra <br /> �uctin I Roof drains <br /> Other � Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM � Other. <br /> � Number of Heaas � Other: <br /> I hereby certity that I have rezd antl examined Ihis apphcation antl know the same to be lrue and correct All provisions of laws and ordinances goveming <br /> th�s type of work will be wmplietl wilh wtielher specified herein or not The granting ot a permit dces no�pmsume to give autMrity to violate or cancei <br /> the provision of any other slale or local law regulating wnslmction or Ihe performance of constmction.Thal I am authodzed by lhe ovmer of this propetly <br /> to Dertorm the work lor which application is made and 1 wmply N�th the State Contractors Law 1027 RCW and 29G200 WAC <br /> J�. 6_10_�3 <br /> OwnedAuthorized Agent Signature Dale (Revised 2l1011) <br />