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3110 PINE ST 2021-12-10
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3110 PINE ST 2021-12-10
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Last modified
12/10/2021 3:25:21 PM
Creation date
12/10/2021 3:24:33 PM
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Address Document
Street Name
PINE ST
Street Number
3110
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PERMIT APPLICATIO° <br /> BUILDING / MECHANICAL / PLUMBING / SIGN /SPRINKLER/ DEMOLITION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> WASHINGTON (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:3110 Pine Street PROPERTY TAX#:0439074901700 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: City of Everett TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET3200 Cedar St <br /> cm, Everett STATE WA ZIP 98201 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME:Johansen Mechanical, Inc. <br /> CONTRACTOR ADDRESS: sTREET20109 144th Ave NE <br /> CITY Woodinville STATE WA zip 98072 <br /> CONTRACTOR PHONE:425-481-2266 CONTRACTOR EMAIL:ivyl@johansenmech.com <br /> CONTRACTOR LICENSE#(REQUIRED):JOHANM1173PK CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 024276 <br /> PRIMARY CONTACT: El OWNER CI CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-481-2266 <br /> Ivy LeVangie CONTACT EMAIL:ivyl@johansenmech.com <br /> BUILDING INFORMATION <br /> Existing Use of Building: ,Contract Price of Work: $28,717 <br /> Proposed Use of Building: Heat Source: OGas ❑Electric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ✓❑T.l. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Replace (4)exisiting RTUs and (1) split system condensing unit/AC with (4) new RTU's <br /> and (1) new split system condensing unit/AC like for like and reconnect to existing ductwork <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 Count List of Fixtures <br /> 1 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 1 Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilatior 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 Drains Water Heater <br /> SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System 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 /> C, City of Everett Official Use Only <br /> 1 nE)) oq <br /> / eil/ <br /> Owner/Authorized i natur g ate (Revised 10/10/2018) <br />
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