Laserfiche WebLink
OM I -5 <br /> ' 41577' PERMIT APPLICATION <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)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:9316 10TH AVE SE PROPERTY TAX#: 00673200002200 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:BADANE SAKDA TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: sTREET9316 10TH AVE SE <br /> CITY EVERETT STATE WA ZIP 98203 <br /> OWNER PHONE:206-397-6013 OWNER EMAIL: <br /> CONTRACTOR NAME: MM COMFORT SYSTEMS <br /> CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 <br /> CITY REDMOND STATE WA ZIP 98052 <br /> CONTRACTOR PHONE:425-881-7920 CONTRACTOR EMAIL:permits@mmcomfortsystems.com <br /> CONTRACTOR LICENSE#(REQUIRED):MMCOMCS85564 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 0552451 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-881-7920 <br /> CONTACT EMAIL:permits@ ., Com systems.com <br /> BUILDING PERMIT APPLICATIO <br /> Existing Use of Building: Contract Price of W.rk:$8525 <br /> Proposed Use of Building: Heat Source: ❑Ga „affect,c ❑Other <br /> Building Type: 0 FR- etached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.l. ❑Sign ❑Sprinkler •II'emolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> ELECTRIC FURNACE TO ELEC AIR HANDLER & HEAT PUMP <br /> CONVERSION. <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 #of List of Fixtures <br /> Fixtures Fixtur Fixtures Fixtures <br /> A/C—Air Handling Units 1 Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> 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 Stove __ Kitchen Sink&Disposal Grease Trap <br /> Gas Range ("AD <br /> " Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups ether: Clothes Washer Medical Gas <br /> Range Hood - Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> Number 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 am the owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official.-- Use Only <br /> -.2k::: <br /> _4 �����g PERM (�� `�C& <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />