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PERMIT APPLICATION 2017/1p0 7 <br /> BUILDING I MECHANICAL/ PLUMBING/SIGN I SPRINKLER/ DEMOLITION <br /> 1111.1406 :4"- CITY OF EVERETT PERMIT SERVICES <br /> Nstr. :- 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 [ FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PIR040:41 SITE INFORMATION <br /> PROJECT SITE ADDRESS:5831 25TH AVE W PROPERTY TAX#: 00802700000400 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> - , <br /> difilter INFORMATION,- <br /> OWNER NAME:GERALD HUSSEY TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 5831 25TH AVE W <br /> CITY EVERETT STATE WA ZIP 98203 <br /> OWNER PHONE:425-543-0758 OWNER EMAIL:GERALDHUSSEY@COMCASINET I <br /> CONTRACTOR NAME: MM COMFORT SYSTEMS <br /> CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 <br /> Guy REDMOND STATE WA ZIP 98052 <br /> CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL:PERMITS@MMCOMFORTSYSTE .COM <br /> 1 <br /> CONTRACTOR LICENSE#(REQUIRED):MMCOMCS85564 CITY OF EVERETT BUSINESS LICENSE NREQUIRED) .i <br /> PRIMARY CONTACT: D OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> 4 <br /> CONTACT NAME: CONTACT PHONE:425-881-7920 <br /> JANETTE WELLS CONTACT EMAIL:PERMITS@MMCOMFORTSYSTEMS.COM <br /> i <br /> 1 <br /> BYILOING,IPERMIT APPLItATION`1' ' <br /> Existing Use of Building: Contract Price of Wor .$13927 <br /> Proposed Use of Building: Heat Source: OGas 0Elec is 00ther <br /> Building Type: OSFR-Detached SFR-Attached ['Duplex 0Multi-Family-#of Units: 0Comrnercial Dlndustrial <br /> Type of Project: ONew ElAddition EIRemodel ORepair 01.1. ['Sign OSprinkler ['Demolition OChange of Use <br /> DESCRIPTION OF WORK: <br /> REPLACE GAS FURNACE AND NC UNIT. <br /> ii <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION 'l PLUMBING PERMIT APPLICATION <br /> Type of Project: _New Addn jAIterat1on Repair Type of Project: New _Addn Alteration Repair <br /> #of #of #of #of <br /> List of Fixtures List of Fixtures <br /> List of Fixtures List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> i A/C-Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> 1 Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain I <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains 1 <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 /> SORIFFKLAR,/SUPPRESSION SYSTEM_ , I <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 1 <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 authorized under any circumstance.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 the State Contractors Law 18.27 RCW and 296200.4 WAG. <br /> ' City of Everett Official Use Only I' <br /> 1 <br /> PERMIT ;z <br /> 4........-------Z „.......„,.._-- 1/05/18 - <br /> I <br /> Own-r/Author -. .gent Signature Date (Revised 10/12/2015) 1 <br /> 1 <br />