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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 l(E)everetteps@everettwa.gov l www,everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> ' PROJECT "TE ADDRESS: •-OPERTY TAX#: <br /> 3004 51st pl sw <br /> LEGAL for new construction: Short Plat/subdivision _ Lot No, (attach copyof longlegal description) <br /> 9 P� ) <br /> CONTACT INFORMATION <br /> OWNER NAME:Saridy Richardson TENANT NAME If Commercial): <br /> OWNER MAILING ADDRESS: STREET 3004 51St pl sw <br /> I CITY EVERETT STATE WA ZIP 98203 <br /> OWNER PHONE:425-265-0522 IOWNER 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 /> t <br /> CONTRACTOR LICENSE#(REQUIRED):MMCOMCS85564 jcITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 055245 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-881-7920 <br /> JENAH BARLOW <br /> CORTACT EMAIL:permits@mmcomfortsystems.com <br /> BUILDING:PERMIT APPLICATION <br /> Existing Use of Buildin Contract Price of Work:$3500 <br /> Proposed Use of Building: Heat Source: ' as ❑Electric ❑Other <br /> Building Ty e: ❑SFR-Detached %SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> ,I Tape of Project ❑New ❑Addition ❑Remodel 'fAispair DTI. ❑Sign ❑Sprinkler ❑Demolition ❑Ohangeof Use <br /> DESCRIPTION OF FURNACE CHANGE OUT <br /> 1, AAASSOCIATED BUILDING PERMIT#(if appltcabte): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New _ Addn Alteration Repair Type of Project: _New Addn _Alteration _Repair <br /> #of #of. .r — #of #of .w <br /> List of Fixtures List of Fixtures List of Fixtures List of Fixtures <br /> F Fixtures Fixtures Fixtures Fixtures <br /> ,A/C Air Handling Units Heat Pump .Toilet Backflow Preventer(inside Bldg) <br /> 1 Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin)- ' Drinking Fountain <br /> Water Heater Refrigeration W Shower `Floor Drain: <br /> Gas Fireplace 'Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting Dishwasher .N. Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.L Other: <br /> WMNpp. i. IIIIIIIUAIIIII IIWYIIYIWIII M • . ....:...i" .... "':..."' <br /> SPRINKLER!SUPPRESSION SYSTEM: <br /> !Number of Heads <br /> li 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 /> I 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 /> IBuilding 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 /> I and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC;, <br /> ;: t y.of Everett Official Use Only <br /> s sl �° �' #I ImP‘El‘rr o 3 <br /> 11/8/2018 l -ate <br /> :2) <br /> �er/Authorized Agent Signature Date ( vis t Y �f <br /> !1l <br /> § ,,j <br />