10621 27TH DR SE 2019-08-19 - Laserfiche WebLink

OIL PERMIT APPLICATIOPI Q(3)7077 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 I www.everettwa.gov/permits ,PROJECT SITE INFORMATION PROJECT SITE ADDRESS: PROPERTY 27TH DR SE,EVERETT,WA 98208 PROPERTY TAX#: 00852700005700 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:VASILY PRIGODICH TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 10621 27TH DR SE CITY EVERETT STATE WA zip 98208 OWNER PHONE:425-315-4388 OWNER EMAIL: CONTRACTOR NAME: MM COMFORT SYSTEMS CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 carr 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 Lg CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: ` , C CONTACT PHONE:425-881-7920 DAVID CLU ETT CONTACT EMAIL:PERMITS@MMCOMFORTSYSTEMS.COM BUILD.ING_',PERMIT=AP,PLICATION " Existing Use of Building: Contract Price of Work:$ /l O 00 Proposed Use of Building: Heat Source: ❑Gas MElectric ❑Other Building Type: 1 3SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair DTA. ❑Sign ❑Sprinkler ❑Demolition OChange of Use DESCRIPTION OF WORK: GAS FURNACE CHANGE OUT AND ADD A/C 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) i 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. /� 6:7,1.4/ City of Everett Official Use Only ` ,. 7 28 17 PERM i0 er/Authorized A nt Signature Date (Revised 10/12/2015)