10126 6TH DR SE 2019-07-09 - Laserfiche WebLink

PERMIT APPLICATION (4'err BUILDING / MECHANICAL I PLUMBING/ SIGN /SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 i FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS:10126 6th DR SE " « PROPERTY TAX#:00856812600100 ( LEGAL for new construction: Short Plat/subdivision Lot No (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Jerry Colburn CONTACT NAME(If Commercial): ( OWNER MAILING ADDRESS: STREET 10126 6th DR SE cm, EVERETT STATE WA ZIP 98203 OWNER PHONE:425-608-2672 OWNER EMAIL: CONTRACTOR NAME: MM COMFORT SYSTEMS r CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 cn-y REDMOND STATE 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: ❑OWNER ❑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:$3,500 Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: USER-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: OCommercial ❑Industrial Type of Project: ❑Nrtw ❑Addition ❑Remodel DRepair ❑TJ. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: FURNACE CHANGE OUT 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 #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures NC—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) 1 Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Bailer Lavatory(Wash Basin) Drinking Fountain - Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range 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 'Number of Heads ACKNOWLEDGEMENT/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 bete being authorized under any circumstance.I am the owner,or/are authorized by the owner of this property to perform the work for which application is made, and I comply with th State Contractors Law 18 27 RCW and 296.2004 WAC. t PERMITCity of Everett Official Use Only 19 �� 11J�_'� 4 / �`� � dam' Owner/Authorized,gent ignat re Date (Revised 10/12/2015) I