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MESANICAL 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 I (E)everetteps@everettwa.gov I (W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 1325 SE EVERETT MALL WAY PARCEL#: 28051800404900 <br /> cirY Everett STATE WA ZIP 98208 <br /> SUITE/UNIT#: FLOOR#: MAIN FLOOR ADDITIONAL LOCATION INFORMATION: OLD TOYS-R-US SPACE <br /> TENANT/BUSINESS NAME(if non-residential):FLYING SQUIRREL SPORTS <br /> CONTACT INFORMATION <br /> OWNER NAME: TRU 2005 RE I LLC <br /> OWNER MAILING ADDRESS: STREET ONE GEOFFREY WAY <br /> CITY Wayne STATE New Jersey ZIP 07470 <br /> OWNER PHONE:NA OWNER EMAIL:NA <br /> CONTRACTOR COMPANY NAME:UNITED SYSTEMS, LLC. <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):UN ITESM962QA CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 05441 6 <br /> CONTRACTOR ADDRESS: STREET 1 400 Airport Way South, Suite 202 <br /> CITY Seattle STATE WA ZIP 98134 <br /> CONTRACTOR PHONE•206-933-6036 CONTRACTOR EMAIL:Peter@US-Mechanical.Com <br /> PRIMARY CONTACT: INNER ILDNTRACTOR _ THER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-510-8080 <br /> Peter Crelley CONTACT EMAIL:Peter@US-Mechanical.com <br /> MECHANICAL PERMIT INFORMATION <br /> VALUATION OF WORK: $75,950.00 ASSOCIATED PERMIT#(if applicable):B2012-035 <br /> (Valuation shall include tf-'ailing rket value of all' ' materials---"••quipm�eded to complete the work,whether actua" id or not.) — <br /> BUILDING TYPE: --R wnhouse iplex -#Units: tmmercial _cessory Structure <br /> DESCRIPTION OF WORK: <br /> RELOCATE THE EXISTING DUCTWORK DISTRIBUTION SYSTEMS ON RTU 1-4 PER PLAN. THREE NEW INLINE GENERAL EXHAUST FANS. <br /> MECHANICAL PERMIT FIXTURE COUNT (SCOPE OF WORK) <br /> Fixture Fixture <br /> Count List of Fixtures Count List of Fixtures <br /> (Qty) (QtY) <br /> A/C Unit(attach plan with location of outdoor unit) Gas Piping-List#of outlets in fixture count <br /> Air Handling Unit** Gas Appliance** <br /> Boiler(most require backflow prevention) ** Gas Fireplace, Insert,and/or Log(*for commercial bldgs) <br /> Commercial Refrigeration(Walk-in coolers,VRF,VRV,etc.) Gas-Other(List Type): ** <br /> Commercial Ventilation(corridors,stairwell,pressurization,etc.) Heat Pump(attach plan with location of outdoor unit) <br /> Compressors/Generators(building permit may be required)** Heat Pump Ductless(attach plan with location of outdoor unit) <br /> Clothes Dryer Exhaust Hydronic Piping <br /> Duct System(additions,alterations) Unit heater(commercial use) <br /> 3 Exhaust Fan(residential or commercial use) Water Heater(gas or electric) <br /> Exhaust Hood(residential over stove) Wood/Pellet Stove or Insert <br /> Exhaust Hood Type I *** 4 Other(List Type):REWORK THE EXISTING DUCTWORK ON RTU 1-4 PER PLAN <br /> Exhaust Hood Type II *** Other(List Type): <br /> Furnace(residential) 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:1 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 /> City of Everett Official Use Only <br /> PERMIT# <br /> 6/25/2021 MV oC� 11P1 <br /> Owner/Authorized Agent S' nature Date (Revised 2/8/2021) <br />