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• • u ,T 4kA <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN I SPRINKLER/DEMOLITION <br /> i,',M( CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-81357 I(F)everetteps@everettwagov I www.everettwagov/permits <br /> ,. PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS; 7117 LOWER RIDGE RDPROPERTY TAX : 00392000002806 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:PARAMORE LINDA TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 7117 LOWER RIDGE RD#A <br /> CITY EVERETT STATE WA ZIP 98203 <br /> OWNER PHONE:425.446.6019 OWNER EMAIL: <br /> CONTRACTOR NAME: MM COMFORT SYSTEMS <br /> CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 <br /> cm, REDMOND STATE WA nF 980,- <br /> CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL:JWELLS@MMCOMFORTSYSTE I . SM <br /> CONTRACTOR LICENSE#(REQUIRED):MMCOMCS85564 CITY OF EVERETT BUSINESS LICENSE#(REQUI- D) 0 2. <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: 11 AA CCT°T CONTACT PHONE:425-881-7920 <br /> JNC i ! <br /> WELLS CONTACT EMAIL;JWELLS@MMCOMFORTSYSTEM` 69M— <br /> BUILDING PERMIT APPLICATION =- <br /> Existing Use of Building: Contract Price of 0 .rk:$ ��_',". <br /> LA �- <br /> Proposed Use of Building: Heat Source: DG: ! - is ■Other ti <br /> Building Type: ❑SFR-Detached DSFR-Attached =4 Duplex DMulti-Family-#of Units: ©Commercial ❑Industrial <br /> Type of Project: DNew DAddition DRemodel 11 Repair DTI. DSign DSprinkler DDemolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> INSTALL NFW Sivtc31e,-Ileokc! ctL&th he_cd-rwwt <br /> gem <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New Addn _Alteration _Repair Type of Project: New , Addn , Alteration Repair <br /> Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures <br /> A/C–Air Handling Units j 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 Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other. <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> ]Number of Heads <br /> ACKNOWLEDGEMENT: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,end focal law. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> Building Official before 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, <br /> and l comply with the State Contractors Law 18.27 RCW and 2911280A WAG <br /> City of Everett t Official Use Onfy <br /> 1/141,(1 7PE MR, \- l — O�g <br /> Or ized Agent Signature Date (Revised\`11/011`2120153 <br />