2108 122ND PL SE 2019-08-20 - Laserfiche WebLink

PERMIT APPLICATI II II BUILCAIWU /MECHANICAL/ PLUMBING /SIGN rtPRINKLER/ DEMOLITION I 6 /'-/ CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 2108 122nd Place Southeast,Everett,WA,USA 98208 PROPERTY TAX#:00539400001900 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:CAMPBELL, BILL TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2108 122nd Place Southeast, Everett, WA, USA 98208 CITY EVERETT STATE WA ZIP 98208 OWNER PHONE:(425)332-2327 OWNER EMAIL:Garrett@gmwnet.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:$5500 Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ODuplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ONew ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: HEAT PUMP AND AIR HANDLER Cltta.v'e &xt 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 #°f List of Fixtures Fixtures Fixtures Fixtures Fixtures 1 A/C—Air Handling Units _ 1 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 Offici-,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 co'• 44th the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only 6/26/18 P \ Owner/ th,rized Agent Signature Date (Revised 10/12/2015)