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6807 EVERGREEN WAY 2022-02-03
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6807 EVERGREEN WAY 2022-02-03
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Last modified
2/3/2022 9:46:35 AM
Creation date
12/10/2021 7:23:21 AM
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Address Document
Street Name
EVERGREEN WAY
Street Number
6807
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ME JOANICAL PERMIT APPLICOION <br />CITY OF EVERETT PERMIT SERVICES <br />EVERETT SUBMITTAL INSTRUCTIONS: Drop off hard copy paper application & plan to 3200 Cedar Street 2nd Floor Intake Drop Box. <br />WASHINGTON CONTACT INFORMATION: (P) 425.257.8810 1 (E) everetteps@everettwa.gov I (W) everettwa.gov/permits <br />(Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: STREET 6807 Evergreen way PARCEL #: 00392800500100 <br />CITY Everett STATE WA ZIP 98203 <br />SUITE/UNIT #: NIA FLOOR #: NIA ADDITIONAL LOCATION INFORMATION: NIA <br />TENANT/BUSINESS NAME (if non-residential): Walgreens 5598 <br />CONTACT INFORMATION <br />OWNER NAME: Everett Walgreens LLC <br />OWNER MAILING ADDRESS: STREET 6807 Evergreen Way <br />CITY Everett STATE WA ZIP 98203 <br />OWNER PHONE: <br />OWNER EMAIL: <br />CONTRACTOR COMPANY NAME: Key Mechanical Co <br />WA STATE CONTRACTOR LICENSE #(REQUIRED): KEYMEW`240NZ <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 013277 <br />CONTRACTOR ADDRESS: STREET 19430 68TH Ave S <br />CITY Kent STATE WA ZIP 98032 <br />CONTRACTOR PHONE: 2538727392 <br />CONTRACTOR EMAIL: sglasco@keymechanical.com <br />PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />Scott G I aseo <br />CONTACT PHONE: 2538727392 <br />CONTACT EMAIL: sglasco@keymechanical.com <br />MECHANICAL PERMIT INFORMATION <br />VALUATION OF WORK: s 28,610.00 ASSOCIATED PERMIT # (if applicable): N/A <br />(Valuation shall include 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 - # Units: ❑✓ Commercial ❑Accessory Structure <br />DESCRIPTION OF WORK: <br />Replace existing condensing unit with (2) new cond. units. Install new units on existing unit's sleepers. Replace (3) evaporator coils like for like. <br />MECHANICAL PERMIT FIXTURE <br />COUNT (SCOPE OF WORK) <br />Fixture <br />Count <br />(Qty) <br />List of Fixtures <br />Fixture <br />Count <br />(Qty) <br />List of Fixtures <br />A/C Unit (attach plan with location of outdoor unit) <br />Gas Piping - List # of outlets in fixture count <br />Air Handling Unit ** <br />Gas Appliance ** <br />Boiler (most require backflow prevention) ** <br />Gas Fireplace, Insert, and/or Log (* for commercial bldgs) <br />Commercial Refrigeration (walk-in coolers, VRF, VRV, etc.) <br />Gas - Other (List Type): ** <br />Commercial Ventilation (corridors, stairwell, pressurization, etc.) <br />Heat Pump (attach plan with location of outdoor unit) <br />Compressors/Generators (building permit may be required) ** <br />Heat Pump Ductless (attach plan with location of outdoor unit) <br />Clothes Dryer Exhaust <br />Hydronic Piping <br />Duct System (additions, alterations) <br />Unit heater (commercial use) <br />Exhaust Fan (residential or commercial use) <br />Water Heater (gas or electric) <br />Exhaust Hood (residential over stove) <br />Wood/Pellet Stove or Insert <br />Exhaust Hood Type I *** <br />Other (List Type): <br />Exhaust Hood Type II *** <br />Other (List Type): <br />Furnace (residential) <br />Other (List Type): <br />* For commercial gas fireplaces, please attach plans and manufacturer's installation manual. <br />** Under Description of Work, please include Type of Equipment, model #'s, ad detailed description of work, and the location of the equipment. <br />*** Type I hood and Type II hoods shall be on a stand alone Mechanical Permit application and requires plan review. Please submit the required documents as <br />described in the associated Checklists online at everettwa.gov/permits under the Checklists & Handouts tab. <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 RC and 296.200A WAC. <br />Owner/Authorized Agent Signature <br />Date <br />A <br />City of Everett Official Use Only <br />PERMIT # <br />o-� S :; <br />(Revised 21812021) <br />Z <br />
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