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PERMIT APPLICATION <br /> �,,�'�` BUILDING'/MECHANICAL I PLUMBING/SIGN/SPRINKLER 1 DEMOLITION <br /> 10"i A CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425457-8810 I FAX.425-257-8857 1(E):everetteps@everettwa:gov I www.everettwa.gov/permits <br /> PROJECT SilTE INFORMATION <br /> PROJECT SITE ADDRESS: PROPERTY TAX#: <br /> 5431 1st ave Se OC`7 q 53 0000)3 0 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION. <br /> OWNER NAME:Steve Meatele TENANT NAME(if Commercial): <br /> OWNER MAILING ADDRESS: sTREEr 5431 1St aye Se <br /> R <br /> _ <br /> CITY EVERETT STATE WA :ZIP 98203 <br /> OWNER PHONE:425-348-4361 OWNER EMAiL:Smeritelel @gmail.com <br /> CONTRACTOR NAME: MM COMFORT SYSTEMS <br /> CONTRACTOR ADDRESS: STREET 181.03 NE 68TH ST SE,C.200 <br /> erre REDMOND STATE WA ZIP 98052 <br /> CONTRACTOR PHONE:4254$81-7920 CONTRACTOR.EMAIL:permitsQmmcoMfortsystems.cartl <br /> CONTRACTOR LICENSE#(REQUIRED):MMCOMCS85564 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 055245 , <br /> PRIMARY CONTACT: OWNER RrCONTRACTOR 0 OTHER(Please•Specify) <br /> CONTACT NAME: . CONTACT PHONE:425-881-7920 <br /> JENt"t( E L7 I LVCONTACT EMAIL.permits a�?tTltl'Icomf tsystei ts.corii <br /> BUILDING PERMIT APPLICATION - _ . <br /> Existing Use of Building: Contract Price Of Work:$850[' <br /> Proposed Use of Building: Heat Source; Sates °Electric ❑Other 1 <br /> Building Type: , FR-Detached ©SFR Attached °Duplex DMultl-Family-#of Units: °Commercial ©Industrial <br /> Type of Project: IJNew °Addition ['Remodel ©Repair °TI. °Sign °Sprinkler ©Demolition 'Change of Use <br /> DESCRIPTION OF WORK: <br /> GAS FUR CE CHANGE OUT ADD HEAT PUMP <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 Fixtures #of list of Fixtures #of List of Fixtures #ofList of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—Air Handling Units I 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 Stave Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Draains <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 f SUPPRESSION SYSTEM <br /> 1Number of Heads <br /> ACKNOWLEDGEMENT'I.have reviewed this application and confirm the inforniatiOh contained herein is true and correct Work done pursuant to this omit must comply with 11 <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 C7ff^ial before being authorized.ender any circumstance.I am the owner,ort am authorized by the Owner of this property to perform the work for which application is made, <br /> and I coir•1 ilk the State Contractors Law 18:27 ROW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PE T <br /> �.---- <br /> 6115/18 gOC -o5�— <br /> Own-/Au, oriz•..s.•'ntSignature Date (Revised 10/12/2015) <br /> i <br />