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PERMIT APPLICATION <br /> 2p1� 1548 <br /> BUILDING ECHANICAL/PLUMBING/SIGN / RINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> v _ - Itttattl E :*t111AT1t�i±I, <br /> �� <br /> tfkg <br /> PROJECT SITE ADDRESS:530 Pilchuck Path,Everett WA 98201 PROPERTY TAX#:0106400006100 <br /> LEGAL for new construction: Short Plat/subdivision Secton0BTow''Pz9R n9a0 Q'"b'SES"°°"'s'°"BE`MLot No.61 (attach copy of long legal description) <br /> .._ 014:*ACT 100' iN1i 4#0.N <br /> OWNER NAME:Jeremy Blood TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 530 Pilchuck Path <br /> CITY Everett STATE WA ZIP 98201 <br /> OWNER PHONE:4257506148 OWNER EMAIL:j4576@yahoo.COm <br /> CONTRACTOR NAME: MM COMFORT SYSTEMS <br /> CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE,C-200 <br /> CITY REDMOND STATE WA ZIP 98052 <br /> CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL:DWELLS@MMCOMFORTSYSTEMS.COM <br /> CONTRACTOR LICENSE#(REQUIRED):MMCOMCS85564 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 054240 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: A'c C CONTACT PHONE:425-881-7920 <br /> JAN ETTE WELLS CONTACT EMAIL:JWELLS@MMCOMFORTSYSTEMS.COM <br /> BUILDIHG ***17 APPLICAT10N,, x" ;` <br /> Existing Use of Building: Contract Price of Work:$ * 1500.- <br /> Proposed Use of Building: Heat Source: ❑Gas 0 Electric DOther <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex DMulti-Family-#of Units: DCommercial El Industrial <br /> Type of Project: El New ❑Addition ❑Remodel DRepair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition OChange of Use <br /> DESCRIPTION OF WORK: <br /> Install new like for like Rinnai tankless hot water heater using existing <br /> componants <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> _ IiAEC1HANAL PERMIIT.:APPLICATOI _. .:_ PLUMBING'PERMIT APPLICATION - . <br /> Type of Project: New_ Addn _Alteration _Repair Type of Project: New _Addn _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 /> NC—Air Handling Units 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 /> 1 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 /> SPRINK ER I SUPPRESSION:SYSTEIYI, ,. <br /> Number of Heads <br /> ACKNOWLEDGEMENT::!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 local 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,ithorized under any circums ance.lam the owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with t ontractors Law 1827 RC 0 nd 296.200A WAC. <br /> i <br /> City of Everett Official Use Only <br /> /2-72j7(b P <br /> •�' � l 0 e <br /> Owner <br /> 40,, ori‘d Agent Signature Date (Revised 10/12/2015) <br />