8520 XAVIER WAY 2019-06-26 - Laserfiche WebLink

041-77 PERMIT APPLICATION BUILDING / MECHANICAL/ PLUMBING/SIGN / SPRINKLER I DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 l FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www,everettwa gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS:8520 Xavier Way PROPERTY TAX#: JLEGAL for new construction. Short Platisuodivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Cheri Jensen TENANT NAME(If Commercial): . OWNER MAILING ADDRESS: STREET 8520 Xavier Way z. j my EVERETT STATE WA zP 98203 OWNER PHONE:425 293 9921 OWNER EMAIL:wherestheSnOW@comcast.net CONTRACTOR NAME. MM COMFORT SYSTEMS CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 cm( REDMOND STAT:: WA ZIP 98052 CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL:permits@mmcomfortsystems.com CONTRACTOR LICENSE#(REQUIRED):MMCOMCS85564 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 055245 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-881-7920 J E NAH BARLOW CONTACT EMAIL:permits@mmcomfortsystems.com BUILDING PERMIT APPLICATION Existing Use of Building Contract Price of Work: $120000 i Proposed Use of Building: Heat Source: DGas Electric ❑Other Building Type: ❑SFR-Detached I SFR-Attached ❑Duplex ❑Multi-Family-#of Units ❑Commercial ❑Industrial Type of Project ❑New 'Addition ❑Remodel DRepair CT.!. OSign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: 3 HEAD MINI SPLIT ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: New Addn _Alteration _Repair Type of Project: New Addn Alteration _Repair - Fixtures List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units ` I Heat Pump Toilet Backflow Preventer(Inside Bldg) 'Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range w Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas - Range Hood Water Heater _ Other Exhaust Fan Sink(Service/Bar/Mop/etc) Other: SPRINKLER/SUPPRESSION SYSTEM ry (Number of Heads 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 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 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, and I comply with the State Contractors Law 18 27 RCW and 296 200A WAC 4 City of Everett Official Use Only pw P M # 11/8/2018 R \ — DS2- Owner/)kut ... zed Agent Signature Date (Revised 10112/2015) ti