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• • <br /> IMO <br /> MECHANICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVE RE T T SUBMITTAL INSTRUCTIONS:Drop off hard copy par .,cplr alor&plan to 3200 Cesar Street 2nd Floor Intake Drop Box. <br /> •.::.t r.r rn v CONTACT INFORMATION:(P1425.257.B810 I IEl c•.• ps,Y3ev (Were1twa.gov I I eveettwa.gdvJOernets <br /> (Blue or Black ink Only P(eas&. PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRE 5 S. r.t .607 Haverstx3e N,: PARCEL N: <br /> rr• Everett '•.rc WA ar 98201 <br /> SUITEIUNIT/. FLOOR S. 1 DDIT!0'.'IL_OCATION INFORMATION: <br /> TENANTIBUSINESS NAME:if n.n-Ietader <br /> CONTACT INFORMATION <br /> OWNER NAME: Bob 8crder5 <br /> OWNER MAILING ADDRESS: srwo.t 607 Riverside Rd <br /> -Verett s ar 9b2D1 <br /> OWNER PHONE:42S-244-4921 'OWNER EMAIL.robert.bordersOcompass-usa.com <br /> CONTRACTOR COMPANY NAME.I im;Mechanical Plus <br /> WA STATE CONTRACTOR UCENSE StREUUtRE0):TIMSMMP9O7CS CITY OF EVERETT BUSINESS LICENSE t(REOUIREDb:57739 <br /> CONTRACTOR ADDRESS: srxu PC BOX 294 <br /> Burley STAIR WA nr 98322 <br /> CONTRACTOR PHONE:253-224-9065 CONTRACTOR EMAIL:IImSmechafllcal I gmsn.com <br /> PRIMARY CONTACT: DINNER ✓:ONTRACTOR THER IPleasr Specify) <br /> CONTACT NAME CONTACT PHONE:253-224-90651425-744-0969 <br /> Tim Cook or Jack Switzer CONTACT EMAIL:.ir-=-echanicall C msn.com <br /> MECHANICAL PERMIT INFORMATION <br /> VALUATION OF WORK ;8622 As sc.0 Ir1T=D PERMIT H if appticatllrj:M2001-063 <br /> vi uifra,11'4134JAN(rw yr �• ti•M.lA.rl .:1 illIib:a n•.r MAR.'.Irra i[Ula►r pad a r t I <br /> BUILDING TYPE-1 'FR oonhouse u ex ; �I fiU I:a•r..y-M Units. �Shie ommrrcisi Ilxexsory Structure <br /> DESCRIPTION OF WORK: <br /> InTtatt pre tatrcatod taco,rr engineered walk m ccolor box ana aSsecrated refrigeration system.Indoor on slab-on-grade. <br /> MECHANICAL PERMIT FIXTURE COUNT (SCOPE OF WORK) <br /> Parting xr�•c <br /> Count Lrs!of Fixtures Count 'Llsr or FJxrurcs <br /> IOW (Qty) <br /> I C Unit;attar plar wlh dcabin c attic., Gas Piping Ust d or outlets in Settee ccur. <br /> Fur Hardirq Jnit** Gas AFpllarce** <br /> Moiler rust require backbone p reverbcr ** Gas f replace,Insert.anabr Log(*for oemnterctal bldgS2 <br /> Commercial ketigeratlan,Wak+•,..:._l.r. .: Gas Other IUst Typet ** <br /> Commercial Verblabor,..a•du, i1.r..1.a.v.,.- Heat Pump(attach plan'Mtn locator of oiadoor unit <br /> r Comp ressers t.ionerators,:..�a•.1 pr ** Heal Pump Ductless;attach plan wit lc.ancr1 a1 ouidcar ust I <br /> Clothes Dryer Exhaust Nystrom Nang <br /> Duct System Athol Mu.e., _ _lint healer I ommercial user <br /> Exhaust fan Iresdertial cc commercial user Water Heater(pas or electric) <br /> Exhaur.Hood(resderhal over stare] _Vfood,Yeltet Seave or Insert <br /> Exhaust Hc.xi I.r^I*** Other Let Typel: <br /> Exhaust Hui *** Other flat Type': <br /> F umar r Other(Lest Typel: <br /> * For co :.aces please attach pars and mantlactirers irstaliabon manual. <br /> ** Under L', please inctide Type co Equipment,Yodel Ks ail detailed description of%orb.and the brdtton or the equipment. <br /> It** "wit!I hood Type <br /> and! e II roods shall be on a stand alone Mechanical Perrot.iplcaocn Ono reeures plait review.Please submit the required dcct.menls as <br /> descrbod in the assocoled Checklsts ontre at everettwo.ga.',t errnts under the Chocktats&Handouts lb. <br /> l.C.KNO LEDGaMENT 1 have roimeled Inns app./Vahan and canfrr Mo,rtfOrrnottin cyttaned herein is true and cMstr.WUM dune pursuant to this permit must comply wth <br /> cincnf fedarae state.and Axar Mist the graren,rA a permit only a ttranzes goprovad wore ano rU do.wtsrs therefrom Donations must Ant Os mistimed in*Ong from Ylo <br /> &manly°meta'Cefara acing authorized under any arcwnsta co.I am Ms owner,rw tam autNanzad oy!he Owner ur Mrs craawtp Su letter?Ire Mcr*M1x once.uif1I atun is trade <br /> and 1 ccrrrWI wan Ms State Contractors Law)11.27 RCW and 296.2GGA WAC. <br /> CAyar E.• Use Only <br /> PERMIT It M ,'1 G- o—p <br /> enAu.once Yt 51grature L/ Dee vAj/v% (Hbnsed 2.2V2f122ti �/ <br /> a;r� <br />