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PERMIT APPLICATION <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: 3003 Colby Avenue ( .cJF- PROPERTY TAX#: 004391 71 7001 00 <br /> LEGAL for new construction: Short Plat/subdivision SEC 30, BLK 717 Lot No.1-7 (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Touchstone Everett Hotel LLC TENANT BUSINESS NAME(Commercial): -- <br /> OWNER MAILING ADDRESS: STREET1425 4th Avenue, Suite 200 <br /> CITY Seattle STATE WA ZIP 98101 <br /> OWNER PHONE: 206-357-2305 (Paul Klansnic) OWNER EMAIL: pklansnic@t0uchstonenw.com <br /> CONTRACTOR NAME: United Systems Mechanical <br /> CONTRACTOR ADDRESS: STREET 1400 Airport Way South, Suite 202 <br /> CITY Seattle STATE WA ZIP 98134 <br /> CONTRACTOR PHONE: 206-933-6036 CONTRACTOR EMAIL: peter@US-Mechanical.conl <br /> CONTRACTOR LICENSE#(REQUIRED): UNITESM962QA CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 054416 <br /> PRIMARY CONTACT: ❑OWNER O CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-510-8080 <br /> Peter Crelley CONTACT EMAIL: peter@US- anical.com <br /> BUILDING INFORMATION <br /> Existing Use of Building: Commercial Contract Price of W k:$ 46,500 <br /> Proposed Use of Building: Commercial Heat Source: OGa 0Electric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ✓❑Co mercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑✓T.I. ❑Sign ❑Sprinkler Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Three(3) new"shell" split-system heat pumps with associated economizers, louvers, ductwork <br /> and refrigerant piping per plan. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures coon: List of Fixtures Count List of Fixtures Count List of Fixtures <br /> 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 3 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 1 am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State C tractors Law 18.27 RCW and 296.200A WAC. <br /> City of fEEv`e�rett Official Use Only <br /> t (/ <br /> Ow er/Authorized Agent Si ture ,Date Revised 10/10/2018) <br />