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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN d SPRINKLER I DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 ( FAX 425-257-8857 ((E)everetteps everettwa,gov I wwwi.everethva_gov/permits <br /> PROJECT SITE ADDRESS:1732 WETMORE AVE PROPERTY TAX#: 00438034701702 <br /> LEGAL.for new eons,roction: Short Piat,'subdivision Lot No., (attach copy of Long legal descnption) <br /> OWNER NAME:BRICE HOWARD TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: sTREET 1732 WETMORE AVE <br /> ci, EVERETT STATE WA zip 98201 <br /> OWNER PHONE:425-870-0061 OWNER EMAIL: <br /> CONTRACTOR NAME: MM COMFORT SYSTEMS <br /> CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 <br /> crry REDMOND srnTE WA zip 98052 <br /> CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL:JWELLS@MMCOMFORTSYSTEM$:1CJ0M <br /> CONTRACTOR LICENSE#(REQUIRED).MMCOMCS85564 CITY OF EVERETT BUSINESS LICENSE#(REQUIRE y 054240 <br /> PRIMARY CONTACT: D OWNER D CONTRACTOR D OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-881-7920 <br /> JANETTE WELLS CONTACT EMAIL::WELLS@MMCOMFORTSYSTEMS.COM <br /> 77 <br /> Existing Use of Building: Contract Prue of Wo , <br /> Proposed Use of Buildin : Heat Source: ©Gas Etectrie �Cytiie� <br /> Building Type- DSFR-Detached DSFR-Attached DDuplex ❑Multi-Family-#of Units: ❑Commercial ©industrial <br /> Type of Proect: DNew DAddition DRemodet DRepair Ort. E3Si n OSprinkler ODemolition ©Change of Use <br /> DESCRIPTION OF WORK: INSTALL NEW THREE-HEAD DUCTLESS HEAT PUMP SYSTEM <br /> ASSOCIATED BUILDING PERMIT# if a ficabie): <br /> MECHANIC4,pERMIt APPLICATION PL,' �'OMMIT APPLICATION <br /> Type of Project: New Addn Alteration ,Repair Type of Project: _New TAddn _Alteration Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—Air Handling Units i Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory (Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dr er Hookups Other: Clothes Washer Medical Gas <br /> Ran e Hood Water Heater Other <br /> Exhaust Fan Sink(Ser,ice/Bar/Mo fetc.) Other: <br /> ON systlEtA <br /> Number of Heads <br /> AC.KNOKIEDGEMENT:i have reviewed this application and confirm the information contained herein is true and correct.Work done pursuant to this permit must comply with <br /> current federal,state.and loot law.The granting of a permit only authorizes approved work and no deviations therefrom.DaviaKons must first be authorized to writing from the <br /> Building Otfioat before being authorized under any circumstance.t am the owner,or t am authorized by the owner of this property to perform the work for which&,oplicafion is made, <br /> and i comply with the State Contractors Law le.27 RCW and 286.200A WAC. <br /> City of Everett Official Use Only <br /> CC, <br /> 0wri thorlze4#6nt Signature Date (Revised 10/9212015) <br />