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M ECIANICAL PERMIT APPL.IC.A*N
<br />CITY OF EVERETT PERMIT SERVICES
<br />EVERETT SUBMITTAL INSTRUCTIONS: Drop off hard cony paper application & plan to 3200 Cedar Street 2nd Floor Intake Drop Box.
<br />CONTACT INFORMATION: (P) 425.'- .88101 (E, ,rereiteps@everettwa.gov I (W) everettwa.gov/permits
<br />(Blue or Back Ink Only Please) PROJECT SITE I;NFC PUMATION
<br />PROJECT SITE ADDRESS: STREET 2828 Colby Ave #403 PARCEL #: 00439166801400
<br />CITY Everett STATE WA zip 98201
<br />SUITE/UNIT al: 403 FLOOR #: 4 AL�DlT60NAL LOCATION INFORMATION:
<br />TENANT/BUSINESS NAME (if non-residential): Edward Jones
<br />_ CONTACT WIFORIMATION
<br />OWNER NAME: TEC HOLDINGS 84 LLC
<br />OWNER MAILING ADDRESS: STREET PO BOX 5267 _ ^_
<br />cry Everett STATE WP, zip 98206
<br />OWNER PHONE: Cy1irER EMA;..
<br />CONTRACTOR COMPANY NAME:Heattransfer Co.
<br />WA STATE CONTRACTOR LICENSE #(REQUIRED):HEATT**20600 •':ITY •�oF EVERETT BUSINESS LICENSE #(REQUIRED): 023094
<br />CONTRACTOR ADDRESS: STREETRO. BOX 1268
<br />riTy Carnation STATE WA ZIP 98014 g
<br />CONTRACTOR PHONE:425-885-3247 CONTRACTOR FMAX:heattrarlSfel i @aOI.COm
<br />PRIMARY (AjNTACT: ❑ OWNER ❑✓ CONTRACTOR ❑ OTHER (Please Specify) _
<br />�CONTACT N aME:
<br />� Richard S i n n e m a
<br />CONTACT PHONE:425-885-3247 I
<br />;: ONTACT ENTAIL: heattran sfer'. @aol.com
<br />MECHANICt I PERM,47 INPOt•+.lMIATION
<br />VALUATION OF WORK: $2000.00 ASSOCIATED PERMIT # (if applicable):
<br />(Valuation shall !r,.I,,de the prevailing fair market value of all labor, materials, and equipment needed to complete the work, whether actually paid or not)
<br />BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family - f Units: ❑✓ Commercial ❑Accessory Structure
<br />DESCRIPTION OF WORK:
<br />relocate diffusers to accommmodate new floor plans.
<br />MECNAtt{ICAt- PFEItMIT FIXTURE C€347_'-.,T (SCOPR OF WORK)
<br />Fixture
<br />Count
<br />L r; t t)f Fixtures
<br />Fixture
<br />Count
<br />List of Fixtures ;
<br />Ai,' Unit (attach plan with location of outdoor .Init)
<br />Gas Piping - List # of outlets in fixturL count
<br />Ai; 'dandling Unit **
<br />Gas ;\ppliance +r*
<br />B•: ler (most require backflow prevention) **
<br />Gas Fireplace, Insert, and/or Lcg (* for commercial bidgs)
<br />Co imercial Refrigeration (Walk-in coolers, VRF, VRV, eta)
<br />_
<br />as - Jlher (List Tvpe)..
<br />Cc •rnerc'A Ventilation (corridors, stairwell, presr..-ization, eta)
<br />Ca: _,ressors/Generators (building permit maybe required) **
<br />Heat PL;:-�� (attach plan with location of outdoor unit)
<br />Heat P.,mp ilerdess (attaui plan with location of outdoor unit)
<br />CluJies Dryer Exhaust
<br />Hydronic �r ;ag
<br />1
<br />Ou-t System (addPions, alterations)
<br />Unit heGlar (commercal use` a
<br />_
<br />Exrsanst Fan (residential or commercial use)
<br />Water Heater (gas or eiect.ic)
<br />_
<br />Exl ,. u:,, Hood (residential over stove)
<br />Wood/Poaet Stove or Insen.
<br />Ez,:,(s;Hood Type lh**
<br />Other (LietTy;)e):
<br />E,:h .ust Hood Tyre II **9s
<br />Other (List Type): `� r
<br />F,rr'ace (rsidc.,Gal)
<br />Other (Lip. - pe): —..
<br />q tfr F, I :,ommercial gas fireplaces, please attach plans and manuftacturer`s installation man,al.
<br />9 ** Un,'.. r Description of Work, please include i ,,pe of Equipment, model t"s, ad detailed descrip`;cu of work, ano the location of the equipment.
<br />* ** Tvr _< 1 hood and Type 11 hoods shall be on a stand t; one Mechanical Permit aoplication and r _ ,-rires .I Ian revisw. Please submit the required documents as
<br />E de:::ribeo i,: the associated Checklists online at everettwa.govlpa.TTtitf under t,,e Checkii•>s &andcL.S tab.
<br />AGKNOWLLLK _*MLN l: I : eVIewed this application and conttrrr tyre intormanon contained ;:aiem is vr.; ant jrrecr v. ,rK done pursuant to this permit must comply with
<br />current federal, : rate. and local law. The granting of a permit omy a jthorizes apj tnvn., work anc; .:o fev-_:cn:: the- n, :viadons must first be authorized in writing from the
<br />building O cia/ t afore being authorized under any circ::mstance. !am the owner, or l am authon ,,d,;y the ov rrer o: i , ; -,roperty fo perform the work ,'. which application is made,
<br />and 1.
<br />pl wiP the Sia!e Contractors Law 18.27 RCW and `t 6.i.0i7A WA:.
<br />City of Everett Official Use Only
<br />O e Author.'! ; Agent Signature f ( Date ;7•?visr;'J8/2021)
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