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PERMIT APPLICATIOW <br /> ,/ ; BUILDIN�CHANICAL/ PLUMBING /SIGN • =RINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov www.everettwa.gov/permits <br /> ((Blueor-Black Ink nly,P ease)dd PR_OJEC SI,T INFO f11A ION <br /> PROJECT SITE ADDRESS: 840 N Broadway a Do .cA ' PROPERTY TAX#: 0551300001900 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> 'C_ONTACT INFORIVATI'ON <br /> OWNER NAME: GPT Properties Trust TENANT NAME(If Commercial): t'14 5 <br /> OWNER MAILING ADDRESS: STREET Two Newton P1 255 Washington St. <br /> CITY Newton STATE MA ZIP 02458 <br /> OWNER PHONE: 206-240-1939 OWNER EMAIL: <br /> CONTRACTOR NAME: Comfort Systems Northwest <br /> CONTRACTOR ADDRESS: STREET 18702 North Creek Pkwy, Suite 110 <br /> CITY Bothell STATE WA ZIP 98011 <br /> CONTRACTOR PHONE: 425-883-9224 CONTRACTOR EMAIL: misty.pomada@comfort systemsusa.com <br /> CONTRACTOR LICENSE#(REQUIRED): COMFOSU842LB CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 017389 <br /> PRIMARY CONTACT: 0 OWNER ®CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-883-9224 <br /> Misty Pomada CONTACT EMAIL: misty.pomada@comfortsystemsusa.com <br /> BUILDING PERM T APPLICATION T <br /> Existing Use of Building: Contract Price of Work:$ 1 `"-S b DO - <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 CIT.!. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Replacing an existing cooling tower and , heat pumps with new. Like for like replacement. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION ;1 PLUMBING PERMIT APPLICATION <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 /> NC-Air Handling Units 11 _ Heat Pump Toilet I Backflow Preventer(Inside Bldg) I <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 1 cooling Tower Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER I SUPPRESSION SYSTEM.: , <br /> Chemical or Water I No.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 /> PERMIT# <br /> 16 ?(IN\ LI-10— 1b 5504-D3n <br /> Owner/ uthorized A ent Signature Date (Revise 9/23/2016) <br /> ( 1/2- <br />