Laserfiche WebLink
PERMIT APPLICATION <br /> .c c b C! 0 <br /> ro <br /> BUILDING/MECHANICAL!PLUMBING/SIGN/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 I(E) • ' `,gov I www;everettwa,gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: PROPERTY TAX#: <br /> 4839 Glenwood Ave 29043600301900 <br /> - <br /> I LEGAL for new construction: Short Plat/subdivision:. Lot Na. (attach copy of long legal description) <br /> A_ <br /> I <br /> CONTACT INFORMATION <br /> OWNER NAME: HARMEET KAUR TENANT.:NAME(If Commercial): <br /> OWNER MAILING ADDRESS: <br /> srrteEr4839 Glenwood Ave <br /> CITY EVERETT STATE <br /> OWNER PHONBx380 460.4 OWNER EMAIL:antarrhothi@gmail.com <br /> ICONTRACTOR NAME: MM COMFORT SYSTEMS <br /> 3' CONTRACTOR ADDRESS: srREEr 18103 NE 68TH ST SE, C-200 <br /> l <br /> CITY REDMOND STATE WA ZIP 98052 <br /> CONTRACTOR PHONE:425-881-7920 <br /> CONTRACTOR EMAIL:permits@mmcomfortsystems.com <br /> CONTRACTOR LICENSE*Ft equIREotiMMCOMCS85564 tat' YOF EVERETT BUSINESS LICENSE#(REQUIRED); 055245- <br /> ( PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> ( CONTACT NAME: CONTACT PHONE:425-881-7920 <br /> CONTACT EMAIL:permits@mmcomfortsystems.com <br /> BUILDING PERMIT APPLICATION <br /> Exist Use of Building: Contract Price of Work:$13,200 <br /> _pri- 4s$tl Use of.St id(n9: Heat Source: ❑Gas ❑Electric ❑t hat' <br /> i <br /> Suilding,7 Ai=t.E3et;ched ❑SFR-Attached DDDuptex ❑Mtjlti=l"e iiy of Units:: - OCommercial ❑Industrial <br /> T DESCRIPof.Pro1TION e :dONewFWORK:. Addition 0 Remodel ❑Repair „DTIOSIon' ❑Sprinkler ODemolition I Ohangeof Use <br /> I INSTALL (2)OUTDOOR AIR CONDITIONER UNITS <br /> ASSOCIATED BUttDING PfeLT#(if applicable) <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> 1' Type of Project: _New , Addn _Alteration _Repair Type of Project: New Addn _Alteration _Repair <br /> List of Fixtures List of Fixtures List of Fixtures List of Fixtures <br /> Fi s ' Fixtures Fixtures Fixtures <br /> A/C AIr Iiatlaffq Units Heat Pump Toilet Backflow Preventer Inside Bid! <br /> dAir ystet Unit Heater "" Bathtub Urina <br /> Gas Piping Boiler La1f&tt>iy:(Wash Basin) Drinking,Fountain <br /> f `Water Heater Refrigeratiort Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Di; <br /> p mal: Grease Trap <br /> II <br /> 'des Range Ducting Dishwasher Rolf Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> �e Hood Water Heater Other: <br /> ink <br /> Fan rvicBa <br /> S `( ee/ r/Mepletc. Other: <br /> o Exhaust <br /> SPRINKLER!SUPPRESSION SYSTEM ... <br /> Number of Hems <br /> ACKNOWLEDGEMENT:l 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 em authorized by the owner of this property to perform the work for which application is made, <br /> i' and I comply with the Slate Contractors Law 18,27 RCW and 296.200A WAC. <br /> Coy of Everett Official Use Only <br /> PERMIT# ....... <br /> 09/05/18 M (g®1( .._oi,, <br /> „. <br /> Ownr}r ., ; , izedAgnnttiignatute 'iRsuts fti/'f�' t/'15) <br /> a <br />