2021 LEXINGTON AVE 2019-07-24 - Laserfiche WebLink

eliPPERMIT APPLICATION BUILDING / MECHANICAL I PLUMBING /SIGN / SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES • r v 3200 CEDAR STREET, EVERETT,WA 98201 —= (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwagov 1 www.everettwagov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS:2021 Lexington Ave#A PROPERTY TAX#: 01171500000100 LEGAL for new construction: Short Plat/subdivision Lot No (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Phoebe Capistrano TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2021 Lexington Ave#A CM' EVERETT STATE WA zip 98203 OWNER PHONE:805 509 4512 OWNER EMAIL:HELLOPHEOBE15@YAHOO.COM CONTRACTOR NAME: MM COMFORT SYSTEMS CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 c'.Tv 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: D OWNER ❑CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME:�ENAH UARLOW CONTACT PHONE:425-881-7920 CONTACT EMAIL:permits@mmcomfortsystems.com BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$7500 Proposed Use of Building: Heat Source: ❑Gas WElectric ❑Other Building Type: ❑SFR-Detached ®SFR-Attached ❑Duplex ❑Multi-Family#of Units: ____..._ „,- 0Commercial 0 Industrial Type of Project: ❑New C4ddition ❑Remodel ❑Repair ❑T,I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use •DESCRIPTION OF WORK: ADD AC 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 1 NC—Air Handling Units 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 Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan _ ry Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM JNumber 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,l am the owner,or I am authorized by the owner of this property to perform the work for which application is made, and I comp!.with the State Contractors Law 18.27 RCW and 296 2004 WAG __,City of Everett Official Use Only Ltj J ; f 9 PERMIT#1 1 �� 1/ oO ✓ �.. (_ I 1 J Owner/Aptized Agent Signature Date (Revised 10/12,2016)