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9930 EVERGREEN WAY TWO MEN AND A TRUCK 2020-02-07
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9930 EVERGREEN WAY TWO MEN AND A TRUCK 2020-02-07
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2/7/2020 11:01:35 AM
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2/7/2020 11:00:51 AM
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Address Document
Street Name
EVERGREEN WAY
Street Number
9930
Tenant Name
TWO MEN AND A TRUCK
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1 111 <br /> gir MECHANICAL <br /> APPLICATIO <br /> BUILDING IIIECHANICAL I 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) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:9930 Evergreen Way Everett,WA 98204 PROPERTY TAX#:28041300302300 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Phillips Real Estate TENANT BUSINESS NAME(Commercial): L.)O Iii-L/L jvcb 4,- <br /> OWNER <br /> OWNER MAILING ADDRESS: STREET711 6th Ave.N STE.200 f <br /> criv Seattle STATE WA 2IP 98109 <br /> OWNER PHONE: 206-622-8600 OWNER EMAIL:egessel@phillipsre.com <br /> CONTRACTOR NAME:Vital Mechanical Service <br /> CONTRACTOR ADDRESS: STREET 1420 Maple Avenue Southwest <br /> CITY Renton STATE WA ZIP 98057 <br /> CONTRACTOR PHONE:206-629-4828 CONTRACTOR EMAIL:chris.smith@vitalmechanical.com <br /> CONTRACTOR LICENSE#(REQUIRED):VITALMS964MM CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 043016 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-445-9416 <br /> Chris Smith CONTACT EMAIL:chris.smith @ •.Imech:nical.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:commercial Contract Price of W rk:$4200 <br /> Proposed Use of Building:commercial Heat Source: ❑Ga DE ctric DOther <br /> BUILDING USE: DSFR OTownhouse ❑Duplex ❑ADU DMulti-Family-#Units: ca Commercial DAccessory Structure <br /> Type of Project: ❑New DAddition ❑Remodel ❑Repair 01.1. OSign OSprinkler ODemolition DChange of Use <br /> DESCRIPTION OF WORK: Suite 105 is serviced by an RTU; which is presently ducted down to the space. Our scope is relocate <br /> return grilles and install new supply grilles to accommodate a new lighting layout and floor plan. Once moved,the grilles will <br /> be tied back into the existing supply and return ducting to the RTU. We are not installing any new equipment in the space. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures Count List of Fixtures Count List of Fixtures I <br /> Count List of Fixtures <br /> A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> I Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilation Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof brains Water Heater <br /> SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System I INo.of Heads 1 <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 /> PERMIT#M //�) (v/,�1y^�,x <br /> -_,__2., <br /> 5/28/207 9 ` ` l 5 V S o 1 <br /> Owr1Auth ize gent Signature Date (Revised 10/10/2018) <br /> /Z <br />
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