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PERMIT APPLICATION <br /> BUILDIN—CHANICAL/ PLUMBING /SIGN —RINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please)' PROTECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 906 SE EVERETT MALL WAY, EVERETT, WA 98208 PROPERTY TAX#: 2805180030850 <br /> LEGAL for new construction: Short Plat/subdivision SEE ATTACHMENT Lot No. (attach copy of long lega scription) <br /> CONTACT INFORMATION <br /> OWNER NAME: PFLUEGER PROPERTIES TENANT NAME(If Commerci : EMOP 3 <br /> OWNER MAILING ADDRESS: STREET 601 UNION ST#5300 <br /> aTv SEATTLE STATE ZIP 98101 <br /> OWNER PHONE: N/A OWNER EMAIL: N/A <br /> CONTRACTOR NAME: MACDONALD MILLER FACILITY SOLUTIONS <br /> CONTRACTOR ADDRESS: STREET 7717 DETROIT AVE SW <br /> crry SEATTLE STATE WA zip 98106 <br /> CONTRACTOR PHONE: (206)768-4062 CONTRACTOR EMAIL: permits@macmiller.com <br /> CONTRACTOR LICENSE#(REQUIRED): MACDOFS980RU CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 040665 <br /> PRIMARY CONTACT: 0 OWNER p'CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: (206) 768-' t• <br /> AMMONE BEMBRY CONTACT EMAIL: permitsr)► . mille corn <br /> BUILDING PERMIT APPLICATION I ` <br /> Existing Use of Building:OFFICE BUILDING Contract Price of Wor $ 15,868 <br /> Proposed Use of Building: OFFICE BUILDING Heat Source: ❑Gas ❑Electri ❑Other _ <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: fiaCommercial ❑Industrial <br /> Type of Project: ❑New DAddition ❑Remodel Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> DEMOLISH EXISTING 3-TON HYDRONIC HEAT PUMP(4P-5)IN LEVEL 4 FORBES SERVER ROOM.FURNISH AND INSTALL ONE NEW DUCTLESS SPLIT-SYSTEM COOLING ONLY AIR CONDITIONER TO PROVIDE DEDICATED COOLING FOR THE LEVEL 4 FORBES SERVER ROOM.FIELD ROUTE REFR <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION ; - PLUMBING PERMIT APPLICATION <br /> Type of Project: _New _ Addn ✓Alteration _Repair Type of Project: _New _Addn _Alteration _Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #°f List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> NC—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood 1 DUCTLESS HEAT PUMP Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> Chemical or Water I No.of Heads <br /> 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 /> 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 /> 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, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> R ��� 2 <br /> 01/15/2019 PE <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) I+ <br />