11925 SILVER LAKE DR 2017-07-17 - Laserfiche WebLink

Zo t (00co PERMIT APPLICATIOWI BUILDINMECHANICAL/ PLUMBING /SIGN rSPRINKLER/DEMOLITION CITY OF EVERETT PERMIT SERVICES OL 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.evereftwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS:11925 SILVER LAKE DR PROPERTY TAX#:00574900000100 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAMEXRISTINE ISENHART TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1 1925 SILVER LAKE DR aTv EVERETT STATE WA zip 98208 OWNER PHONE:425-205-3754 OWNER EMAIL: CONTRACTOR NAME: MM COMFORT SYSTEMS CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 cm 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: ❑OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-881-7920 JANETTE WELLS CONTACT EMAIL:JWELLS@MMCOMFORTSYSTEMS.COM BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Du lex []Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: []New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign []Sprinkler ❑Demolition []Change of Use DESCRIPTION OF WORK: GAS FURNACE REPLACEMENT WITH AN A/C ADD ON. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANI L P MIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: V New Addn Alteration Repair 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 A/C,2 Air Handling Units 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 Fire'place 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.' ve 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 nd loclai 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 ore being 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 1 comply the state Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only i PERMIT#M I � �,e)q 5/31/16 Du O uttiorize Signatu Date (Revised 10/ 2015)