6202 ASSOCIATED BLVD 2021-10-12 - Laserfiche WebLink

4477- • PERMIT APPLICATION BUILDING / MECHANICAL/ PLUMBING / SIGN /SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 6202 Associated Blvd FL 1 PROPERTY TAX#: 28040100302300 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: HLD Properties LLC TENANT NAME(If Commercial): Harvey TI OWNER MAILING ADDRESS: STREET 10822 117th Pl. NE CITY Kirkland STATE WA ZIP 98033 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Evergreen Refrigeration CONTRACTOR ADDRESS: STREET 727 South Kenyon St. crry Seattle STATE WA ZIP 98108 CONTRACTOR PHONE: 206-763-1744 CONTRACTOR EMAIL: alexb@evergreenhvac.com CONTRACTOR LICENSE#(REQUIRED): EVERGRL954R2 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):044350 PRIMARY CONTACT: ❑OWNER CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: Alex Burkhart CONTACT PHONE:206-763-1744 ext. 247 CONTACT EMAIL: alexb@evergreenhvac.com BUILDING PERMIT APPLICATION Existing Use of Building: _Contract Price of Work:$27.637.00 Proposed Use of Building: Heat Source: ❑Gas DElectric tit6ther Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex DMulti-Family-#of Units: DCommercial ❑Industrial Type of Project: ❑New DAddition DRemodel DRepair f.I. ❑Sign ❑Sprinkler DDemolition DChange of Use DESCRIPTION OF WORK: Installation of one (1) split system heat pump, one (1) energy recovery ventilator, one (1) electric duct heater, two (2) electric wall heaters, one (1) exhaust fan, ductwork, and grilles/diffusers. ASSOCIATED BUILDING PERMIT#(if applicable): B2103-050 MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn ' Iteration _Repair Type of Project: _New _Addn _Alteration _Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures 1 NC—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 1 Ducting Dishwasher Roof Drains Clothes Dryer Hookups 1 Other: ERV Clothes Washer Medical Gas Range Hood 3 Electric Heater Water Heater Other: 1 Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM Chemical or Water No.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 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, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# G�j 6/15/21 ( LI 0(0 - 0 1l0 Owner/Authorized Agent Signature Date (Revised 9/23/2016)