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PERMIT APPPLICATIOI <br /> ' '—" BUILDING/MECHANICAL I PLUMBING I SIGN F SPRINKLER 1 DEMOLITION <br /> i <br /> 4 CITY OFGV EVERETT PERMIT SERVICES <br /> ' 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P1425-257-8810 1 FAX 425-2574857 1(E)everetteps( everettwa,gov I www:eyerettwa,govtp mits <br /> PROJECT SITE INFORMATION '; <br /> PROJECT SITE ADDRESS:11 X17 MARINE VIEW DR PROPERTY TAX#: 00438322800400 <br /> LEGAL for new construction: Short Platfsubdivision Lot Nor (attach copy of long legal de scription <br /> CONTACT INFORMATION <br /> OWNER NAME:JONATHAN LUCKHAUPT TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: arngsT1107 E MARINE VIEW DR <br /> On. EVERETT STATE WA. zip 98201 <br /> OWNER PHONE:425-923-8790 ( t W iER EMAIL:JLUCKHAUP(GMAIL.COM <br /> z <br /> CONTRACTOR NAME: MMrCOMFORT SYSTEMS <br /> CONTRACTOR ADDRESS: r 18103 NE 68TH ST SE, 0-200 <br /> REDMONDSTATE WA zits 98052 <br /> CONTRACTOR PHONE:425-881- 25 CONTRACTOR EMAIL:pet'mts{ammcomforytetrls, orri <br /> CONTRACTOR LICENSE#(l EQUlR ):MMCOMCS8 64 CITY OF EVERETT BUSINESS LICENSE*REQUIRED): ° <br /> 'PRIMARY CONTACT: 0 OWNER_ 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-881'7920 <br /> CONTACT EMAIL:permits r©rttmcomfortsystems,c m <br /> BuILDIN0 RMI APPLICATION <br /> Existing Use of Building: t Contract Price of Work: 2;>o'c1t1 <br /> Proposed Use of Building: Heat"So Source s Cl Electric 0Other <br /> Building Type: 01-:R-Detached ,DSFR-Attached ©Duplex, ❑ lulti- amily-#of Units: __ ,, O ommercial ®Industrial <br /> Type of Project: © Jew ClAdditio�'t [Remodel ®Repair nil. OSign CDSprinkier Oternolition OChange of Use <br /> 'DESCRIPTION OT WORK: GAS FURNACE CHANGE OUT <br /> `ASSOCIATED BUILDING PERMIT 1(if applicable): <br /> MECHANICAL PERM+APPLICATIOIVt" - ;' PLUMBING PERMIT APPLICATION <br /> e . <br /> Type of Project New Addn Alteration Repair Type of Project: New _,,Addn Alteration „,,:Repair <br /> List of Fixtures List of Ffxtures .List of tures List of Ilium <br /> Fixtures krtures _ Fixtures Ftxturs <br /> NC—Air Hamill lg Units Heat Pump\ Toilet Beddow Preventer(Inside Bldg) ,. <br /> tForced.Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Y Boiler Lavatory(Wash Basin) -Drinking Fountain <br /> Water Heater ' .Refrigeration Shower door Drain <br /> Gas Fireplace =; ,Wood Stove —Dishwasher <br /> Kitchen Sink&Disposal Grease Trap <br /> .4 <br /> Gas Range Ducting Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Bink(ServicelBar/Mopetc, Other: <br /> t. <br /> SPRINKLER"1 SUPPE ION"SYSTEM <br /> INumber of Heads <br /> ACKNOWLEDGEMENT:I have reviewed tills application and confirm the Information contained herein is true and correct works done pursuant to this permit must comply with <br /> current federal,state,and local law. The granting;of a penhlt only authorizes approved work and no deviations therefrom Deviations must first be authorized in writing from tie <br /> Suilding Oficial before being authorized under any circumstance.I am the owner,ori am authorized by the owner of this property to perform the work for which,application is made, <br /> and t comply with the State Contractors Lae*18,27 ROW and 295.2004 WAC, <br /> City of Everett Official Use Only, <br /> 41111117061 <br /> I / <br /> PERMIT <br /> U <br /> • ,,; . $, orized Agent Signature Y Date (Revised 4(12/2015) <br />