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i <br /> PERMIT APPLICATION <br /> I <br /> BUILDING/MECHANICAL/PLUMBING/SIGN I SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857:j(E)averatffispseelionstaitia4001 wwwceverettwasgov .._. its v, <br /> _. .PROJECT S,I?E INFORMATIUt11 � . ,. <br /> PROJECT SITE ADDRESS 4830 Glenwood Ave PROPERTY TAX#:00505700004401 <br /> LEGAL for new construction: Short Platisubd kilo Lot No, (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:DebQrah_,Bu,.tQrl.. TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: sTREET4830 Glenwood Ave <br /> __ ,CITY EVERETT STATE WA ZIP 98203 <br /> OWNER PHONE:425-258-1429 <br /> OWNER EMAIL:dIbutton@juno.com <br /> `CONTRACTOR NAME: MM COMFORT SYSTEMS <br /> CONTRACTOR ADDRESS. STREET 18103 NE 68TH ST SE, C-200 <br /> ' <br /> crry REDMOND <br /> STATE WA ZIP 98052 <br /> CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL:permits@mmcomfortsystems.com <br /> SOAITRAOTOR LICENSE lIAREQUIftetiy,MMCOMCS85564 [CITY OF EVERETT BUSINESS LICENSE#(REQUIRBO): 055245 <br /> PRIMARY CONTACT: 0 OWNER TRACTOR 0 OTHER(Please Specify> <br /> CONTACT NAME: �/�� CONTACT PHONE: <br /> 425-881- <br /> J`NAH s-+AR' `LO s y CONTACT EMAIL:permits@mmcomfortsystems.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Contract Price of Work:$3500 <br /> Pr Use of Build! <br /> opOsad Heat Source, 0 Electric ❑Other. <br /> k. Buildtrgtype. ❑SFR-Detached R-Attached .❑Duptex .aMutti-Fastity4ofUnitS ❑Commercial l�Industrial <br /> Type,of ProjeO: ❑New ❑Addition 0Remodel\pRepair ❑TJ4. ©Sign Q$rlkler 0Demolition DCI1ange,of Use <br /> DESCRIPTION OF WORK: FURNACE CHANGE OUT <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION . __ PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_ Addn _Alteration _Repair Type of Prosect _ New Addn __Alteration Repair <br /> #of #of #of ,".. #of <br /> List of Fixtures List of Fixtures List of Fixtures List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> i NC—Air Handling Units 'Heat Pump I. Toilet , ;.Backflow Preventer(inside Bldg) <br /> Forced Air Systems Unif Heater Batub Urinal <br /> Gas Piping., Boiler --La�ry(WashBasin) DrinkingFountain <br /> Gas Fireplace Wood Stovers Kitchen r Greg Drain <br /> 1Water Heater ig <br /> 3 Sink&;bisposai° Grease Tree <br /> as Range Ducting Dishwasher Roof Drains <br /> i `.Clothes Dryer Hookups Other 1 ,Clothes Washer , Illedk al Gas <br /> Ranke Hood , Water Heater txhausf Fan 'vinic.: 'fitter: <br /> (x +iSeMad� z _ Other: <br /> -/ , .. <br /> SPRINKLER/SUPPRESSION SYSTEM , ' <br /> jNumber.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 em the owner,or i am authorized by the owner of this property to perform the work for which application is made, <br /> and l:toht ^ r ';the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> IPE \soso <br /> R IT <br /> , <br /> n <br /> (Revised10(1 ) <br /> I <br />