10129 25TH AVE SE 2019-08-08 - Laserfiche WebLink

OLT PERMIT APPLICATION BUILDING / MECHANICAL/ 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 1 www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 10129 25th AVE SE PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Ken NeiSIngjer TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 10129 25th AVE SE crTY EVERETT STATE WA ZIP 98203 OWNER PHONE:360-840-9648 OWNER EMAIL:neisengineer@hotmail.com CONTRACTOR NAME: MM COMFORT SYSTEMS CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 city 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: 0 OWNER 0 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: $ . - ..- - Proposed Use of Building: Heat Source: ❑Gas OElectric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ONew DAddition DRemodel ❑Repair ❑T.I. OSign ❑Sprinkler DDemolition ❑Change of Use DESCRIPTION OF WORK: INSTALL NEW HEAT PUMP 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 _ A/C—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 Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/ SUPPRESSION SYSTEM Number 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.I am the owner or I am authorized by the owner of this property to perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT ( \ \ 7--- � /i ( O7 � - C) ' Owner/Authorized Agent Signature Date (Revised 10/12/2015) \\J