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'grrPERMIT APPLICATIO <br /> BUILDIN�LECHANIICAL EPLUMTBIINGPERM/T SERVIG <br /> C INKLER/ DEMOLITION <br /> CITY <br /> (P)425-257-8810 I FAX 425-257-8857 1(E) <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROPERTY TAX#: <br /> PROJECT SITE ADDRESS:2021 124th st SE <br /> LEGAL for new construction: Short Plat/subdivision <br /> Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> TENANT NAME(If Commercial): <br /> OWNER NAME:KIfTlberl Cook <br /> OWNER MAILING ADDRESS: sTREET2021 124th st SE <br /> STATE WA ZIP 98203 <br /> CITY EVERETT <br /> OWNER PHONE:804 238 5965 <br /> OWNER EMAIL: <br /> CONTRACTOR NAME: MM COMFORT SYSTEMS <br /> CONTRACTOR ADDRESS: STREET 18103 NE 68TH ST SE, C-200 STATE WA ZIP 98052 <br /> cr r REDMOND <br /> CONTRACTOR PHONE:425-881-7920 <br /> CONTRACTOR EMAIL:permits@mmcomfortsystems.com <br /> CONTRACTOR LICENSE#(REQUIRED): <br /> MMCOMCS85564 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 055245 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT PHONE:425-881-7920 <br /> CONTACT NAME: <br /> Kimberly Cook CONTACT EMAIL:permits@mmcomfortsystems.com <br /> BUILDING PERMIT APPLICATION <br /> Contract Price of Work:$ <br /> 5,500 <br /> Existing Use of Building: <br /> Heat Source: ❑Gas ❑Electric ❑Other <br /> Proposed Use of Building: ❑Commercial [Industrial Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: <br /> Type of Project: ONew ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Si•n ❑Sprinkler ODemolition ❑Change of Use <br /> DESCRIPTION OF WORK: AC ADD ON <br /> ASSOCIATED BUILDING PERMIT#(if applicable): PLUMBING PERMIT APPLICATION <br /> MECHANICAL PERMIT APPLICATION <br /> Type of Project: _New _Addn Alteration Repair_ <br /> Type of Project: New Addn _Alteration Repair List of Fixtures <br /> #of #of List of Fixtures List of Fixtures Fixtures <br /> List of Fixtures Fixtures Fixtures Toilet —Backflow Preventer(Inside Bldg) <br /> Fixtures <br /> i Air Handling Units Heat- Pump <br /> Forced Air Systems -Unit Heater -Bathtub -Drinking Fountain <br /> -Boiler -Lavatory(Wash Basin) =Floor Drain <br /> -Gas r Heatereg -Shower <br /> -Water -WooRefrid Stove Grease Trap <br /> -Wood Stove Kitchen- Sink&Disposal =Roof Drains <br /> Gas Rangereplace -Dishwasher <br /> Gas -Ducting Medical- Gas <br /> -Other: -Clothes Washer Other: <br /> -Ranges Dryer Hookups - <br /> - <br /> Range Hood1111111111111 Other: <br /> -Sink(Service/Bar/Mop/etc.) <br /> Exhaust Fan -1.111111111111111.1 <br /> SPRINKLER 1 SUPPRESSION SYSTEM 11111111111111111 IIIIIIIIIIIIIIIIIIIIIII <br /> Number of Heads 111111111111111111111111 11111111111.1111111111111111 <br /> ly with <br /> ACKNOWLEDGEMENT:I have reviewedw. h rantin application <br /> permi only authrm to a information <br /> es approvved work and d no dev ations the efom.Deerein is true and correct �at o s m tht first e e au hk done pursuant to this ors ed in aPplga on om tsh ade, <br /> cu ildin Officia befo,and nglocal u ho The g 9 <br /> Building Official before being authorized under any circumstance.I am the owner,or I am authorized by the owner of this property perform <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only <br /> T <br /> C <br /> . , <br /> // / PERMI ........„--- <br /> �- 5/18/18 ,`i (Revised 10/12/2015) <br /> Owner/Authorized Agent Signat - <br /> Date <br />