12 60TH PL SE 2018-04-25 - Laserfiche WebLink

a�/��9�.� PERMIT APPLICATI� BUILDING /MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 � FAX 425-257-8857 �(E)everetteps@everettwa.gov� www.everettwa.gov/permits PRQJE',GT,S`I.TE tNFORMATION PROJECT SITE ADDRESS:12 60TH PL SE �ve��"(J/.� PROPERTY TAX#:00794100000600 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) °CONTACT INFORMATION - OWNER NAME:�SAAC ARELLIN TENANT NAME(If Commercial): OWNER MAILING ADDRESS: s-rReer 12 60TH PL SE crrv EVERETT STATE �/A ziP 98203 OWNER PHONE:425 903 6973 OWNER EMAIL: CONTRACTOR NAME: MM COMFORT SYSTEMS CONTRACTOR ADDREss: sTReeT 18103 NE 68TH ST SE, C-200 ciTv REDMOND STATE WA ziP 98052 CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL:PERMITS@MMCOMFORTSYSTEMS.COM CONTRACTOR LICENSE#(REQUIRED):MMCOMCS85564 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): OSS24Jr;' PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-881-7920 DAV I D C L U ETT CONT,4CT EMAIL:pERMITS@MMCOMFORTSYSTEMS.COM BUILDING PERMIT APPLICATION ' _ - Existing Use of Building: Contract Price of Work:$6,500 Proposed Use of Building: Heat Source: ❑Gas �Electric ❑Other Building Type: �SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family�of Units: ❑Commercial ❑Industrial T pe of Pro'ect: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Chan e of Use DESCRIPTION OF WORK: A/C ADD ON ASSOCIATED BUILDING PERMIT#(if applicable): : MECHANICAL PERMIT APPLICATION: PLUMBING PERMIT APPLICATION' Type of Project: _New _ Addn �Alteration _Repair Type of Project: _New _Addn _Alteration Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fi�cfures Fixtures Fixtures Fixtures i A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes D er Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM" Number of Heads ACKNOWLEDGEMENT.�l have reviewed this application and confirm the information contained herein is true and correct Work done pursuant to this permit must comply with current federal,state,and local law. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be aufhorized in writing from the Building Official before being authorized under any circumstance.I am the owner,or I am authorized by the owner of this property to pertorm the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A W,4C. City of Everett Official Use Only % �/�/� PERMIT# � ,/� 7-24-17 � �V I Owner/Authorized Agent Signatur Date (Revised 10/2/2 15)