Laserfiche WebLink
Zbl � (�o2 <br /> PERMIT APPLICATIO� <br /> BUILDING / MECHANICAL/ PLUMBING / SIGN / SPRINKLER / 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� wv,rN.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:7924 WeSt G12f1 DR PROPERTY TAX#: 00440800001800 <br /> LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:AIb@ft KaI"OK TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: sTREEr�924 W2St G12f1 DR <br /> ��n EVERETT STATE Wq Z�P 98203 <br /> owtvER PHONE:541-257-8744 OWNER EMAIL:Abe1182002@gmail.com <br /> coNrR,acroR N,annE, MM COMFORT SYSTEMS <br /> CONTRACTOR ADDRESS: sTREer 18103 NE 68TH ST SE, G200 <br /> �,n REDMOND STATE WA Z�P 98052 <br /> CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL:�WELLS@MMCOMFORTSYSTEMS.COM <br /> CONTRACTOR LICENSE#(REQUIRED):MMCOMCS85564 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): OSS24$ <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-881-7920 <br /> J E NAH BARLOW CONTACT EMAIf?�c�i��@MMCOMFORTSYSTEMS.COM <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Contract Price of Work: $`D, ��"1 ( <br /> Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#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 /> ���'�'l�'� L��" i;1���� �-I�L <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 /> #of List of Fixfures #�f List of Fixtures #�f List of Fixtures #°f List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> � A/C—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 /> 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,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.I am the owner, or I am authorized by the owner of this property to pertorm the work for which application is made, <br /> and 1 omply with the State Contractors Law 18.27 RCW and 296.200A W,4C. <br /> City of Everett Official Use Only <br /> _' , y � � PERMIT# � O 1 ` <br /> �� /� <br /> ��li ' <br /> Own rlAut orized Agent Signature Date (Revised 10/12/2015) <br /> � /, <br />