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4730 GLENWOOD AVE 2018-06-07
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4730 GLENWOOD AVE 2018-06-07
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Last modified
6/7/2018 2:22:23 PM
Creation date
6/7/2018 2:22:22 PM
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Address Document
Street Name
GLENWOOD AVE
Street Number
4730
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II IIIIII 6/705( <br /> OLTPERMIT APPLICATIC <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 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> Ftn, t., ' PROJECT SITE£INFORMICtION _..,-_ ,_._ ,F_ .. i.. .. _._ <br /> PROJECT SITE ADDRESS: PROPERTY GLENWOOD AVE,EVERETT WA PROPERTY TAX#: 00505700004202 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> :' . "` ' Mt f g r"rGONTAGT INFORMATION`;: : fe,.. .. _ _ M, . - _SY.. .?=U <br /> OWNER NAME:JOE JR FRAUSTO TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET4730 GLENWOOD AVE <br /> crff EVERETT STATE WA ZIP 98203 <br /> OWNER PHONE:425-350-2526 OWNER EMAIL: <br /> CONTRACTOR NAME: MM COMFORT SYSTEMS <br /> CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 <br /> crn- REDMOND STATE WA zip 981 <br /> CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL:PERMITS@MMCOMFORTSYS =0 S.COM <br /> CONTRACTOR LICENSE#(REQUIRED):MMCOMCS85564CITY OF EVERETT BUSINESS LICENSE#(REQUIRE'):' _ r <br /> PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-881-7920 <br /> DAVID CLU ETT CONTACT EMAIL:PERMITS(P 0 T -•MFORTSYSTEMS.COM <br /> r - i aiiitt DING PERkite P4 4�'R Tl a '� <br /> Y x v <br /> _?�-.w�z�_'5 t _-.4. .sem_ ...-:. :_. _ ._ ... :,... AIM VIN <br /> Existing Use of Building: Contract Price of Wo k:$3,000 <br /> Proposed Use of Building: Heat Source: ®Ga- ❑Electr'c ❑Other <br /> Building Type: ( SFR-Detached ❑SFR-Attached ODuplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> Type of Project: El New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler :.emolition ❑Change of Use <br /> DESCRIPTION OF WORK: 80-80 GAS FURNACE CHANGE OUT <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> i ''`r r, Z `",�'�` IMINIBI G_PERMAT raPL�7CATrON` '` n�. <br /> �7NE.�HAN1CAIPERMIT�;APPL1l±ATIONf��� �.. .� p_�.�_ ... ...:..�.-� -- <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 /> A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> I 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 /> - SPRIN t R/SU,PPRESSID SYSTE1111 y, <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 perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> /6 � / PER T <br /> ner/A horized Age t Signature Date (Revised 10/12/2015) <br />
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