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2--o t c� � o�% <br /> 1IIIII PERM IT APPLICATIO <br /> BUILDINQ7�IECHANICAL/PLUMBING/SIGN�INKLER/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� www.everettwa.gov/permits <br /> _ - �� y,�� FR�,1���'=��'������"�"latR � _ � <br />� PROJECT SITE ADDRESS:g16 E CASINO RD PROPERTY TAX#.28050700304500 � <br /> LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description} <br /> �L�DNTA�'I'I�1�Q��A'�'�!f�1�1: .;. .. . .: <br /> Qv+►NER NAME:JOHN TIDWELL TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: sTReer 916 E CASINO RD <br /> cirr EVERETT STATE �/�/A ziP 98203 � <br /> OWNER PHONE:425-754-5914 OWNER EMAIL: <br /> CONTRACTOR NAME: MM COMFORT SYSTEMS <br /> CONTRACTOR ADDRESs: sTReeT 18103 NE 68TH ST SE, G200 <br /> cirv REDMOND STATE WA ziP 98052 <br /> CQNTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL:�WELLS@MMCOMFORTSYSTEMS.COM <br /> CONTRACTOR LICENSE#(RE4UIRED):MMCOMCS85564 GITY OF EVERETT BUSINESS LIGENSE#{REQUIRED}: OJr424O <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑OTHER{Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-$81-7920 <br /> JANETTE 1NELLS CONTACTEMAIL:,IUVELLS@MMCOMFORTSYSTEMS.COM <br /> ; �, Y . _ _ � <br /> a BU�LDLN�G:-P�Itl�f����A'�t4N .: ' ' <br /> Existing Use of Building: Corrtract Price of Work:$��680 <br /> Proposed Use of Building: Heat Source: OGas ❑Electric ❑Qther <br /> Buildin T e: ❑SFR-Detached ❑SFR-Attached ❑Du lex ❑Multi-Famil -#of Units: ❑Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> INSTALL NEW 2 HEAD DUCTLESS HP SYSTEM <br /> ASSOCIATED BUILDING PERMIT# if a licable : <br /> , .,: , , _�, <br /> . <br /> ., r�YIE�CHANl�I#L RERM�'rt'�#*�:4�GATION � ' � P.I.UMBING PERMIT�►P��.#61�T10N '' ' ' <br /> Type of Project: _New_ Addn _Alteration Repair Type of Project: _New _Addn _Alteration Repair <br /> #of ust of Fixtures #of �st of Fi�ctures #of /�st of Fatures #of List of Fi�rtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> AJC—Air Handling Units o Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Pi in Boiler Lavatory{Wash Basin Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Dis osal Grease Tra <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/BadMop/etc.) Other: <br /> ;�RRI�l1�1.E�t/:Syt+��tE��1�'���EN� .; , <br /> Number of Heads <br /> ACKNOWLEDGEMEIVT.�t have reviewed this application and confinn the information contained herein is true and conect Work done pursuant to this permit must comply with <br /> current fecteral,stafe,and local law.The granting of a permit only authorizes approved work and no deviations the�from.Deviations must first be authorized in writing!rom the <br /> Building Official defoie being autho�ized under any circumstance.!am the owner,or 1 am authorized by the owner of this property to perlom�the work for which application is made, <br /> and 1 comply with e S te Contractors Law 98.27 RCW and 296.200A WAC. <br /> ) Ci(y of Everett Oflrcial Use Only <br /> � '��� //� PERMIT# /� <br /> 1.�.. / f�p f <br /> Owner uth rized Agen Signature Date (Revised 10/12/2095) <br />