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PERMIT APPLICATION <br /> BUILDING I MECHANICAL/ PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> 1 <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)evereuep tti gov I www.everettwa,govlpermits <br /> PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: PROPERTY TAX#: <br /> 7909 GLEN DR W 00440800004800 <br /> LEGAL for new construction: Short Plat/subdivision Lot No, (attach copy of long legal description) <br /> CONTACT,INFORMATION <br /> WNER NAME:CHARLES ROSS TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 7909 GLEN DR W <br /> CITY EVERETT STATE UVA ZIP 98203 <br /> OWNER PHONE:425 220 8096 'OWNER EMAIL Hiefross49@gmail.com <br /> CONTRACTOR NAME: MM COMFORT SYSTEMS <br /> CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 <br /> cirr REDMOND STATE WA <br /> ZIP 98052 <br /> !, <br /> CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL:permits@mmcomfortsystems.com <br /> CONTRACTOR LICENSE#(REQUIRED):MMCOMCS85564 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 055245 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-881-7920 <br /> I 'CONTACT EMAIL:permits@mmcomfortsystems.com <br /> r <br /> BUILDING PERMIT APPLICATION <br /> tExisting Use of Building: Contract Price of Work:$6827 <br /> Proposed Use of Building; Heat Source: ❑Gas ❑Electric ❑Other <br /> I. Building Type: ❑SFR-Detached DSFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> . <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION'OF WORK: <br /> ADD AIR CONDITIONER <br /> ASSOCIATED BUILDING PERMIT.#:(if applicable): ___.. <br /> 1MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> I 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 /> 1 NC Alriartrllirlgrtita Heat Pump 4 Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air.Sxystems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basing Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Pee Range Ducting Dishwasher Roof Drains <br /> ^ <br /> Clothes Dryer Hookups Other Clothes Washer Medical Gas <br /> Ranlf e.)�#.bo Water Heater Other <br /> Exhaust Fan Sink(Service/Bar/Mop/etc,) Other: <br /> SPRINKLER I SUPPRESSION SYSTEM <br /> iNLmber of Hems <br /> i 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!comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> CO of Everett Official Use Only <br /> pPERMIT,A/� <br /> O r1 VL <br /> r b <br /> • ,;r7Authorii d Agent Signature `^..,..� tae (Iv ed 10 42/208) <br /> .'.. .. <br />