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MN PERMIT APPLICATION <br /> 11111.1 <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 FAX425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:2902 Rucker Ave PROPERTY TAX#:00439168003300 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: DMT Rucker LLC TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET15408 Main St# 101 <br /> CITY Mill Creek STATE/WA ZIP 98012 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME:Comfort Systems Northwest i w ,,t,2o <br /> r— • <br /> ._i <br /> CONTRACTOR ADDRESS: sTREET18702 North Creek Pkwy, Suite 110 /. j "r cli <br /> nit :, R r? <br /> c„ Bothell STATE WA '.alA98011 <br /> CONTRACTOR PHONE:425-883-9224 CONTRACTOR EMAIL:mpOmada@CsUSanW.COm <br /> CONTRACTOR LICENSE#(REQUIRED): OMFOSU842LB CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 017389 <br /> PRIMARY CONTACT: 0 OWNER ❑ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-273-1700 <br /> Misty Pomada CONTACT EMAIL:mpomada@csusanw.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:Office Contract Price of Work: $300,000 <br /> Proposed Use of Building:Same \ Heat Source: ❑Gas DElectric DOther <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex EIADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> Type of Project: New ❑Addition ❑Remodel ❑Repair/ T.I.❑ ❑Sign ❑Sprinkler Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Mechanical & Plumbing scope. Installing 2 HVAC systems, 2 RTUs, 2 Unit Heaters, 1 split system, <br /> 6 exhaust fans, 1 garage exhaust, co/no sensors, Rpof hoods & GRDs. 3 Water closets, 1 urinal, 2 lays, 1 mop sink, 2 sinks, <br /> 1 floor drain, 1 HW tank, 1 sump pump, 1 electric W(\i, 1 oil/water separator& piping. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture t Fixture Fixture Fixture <br /> Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures <br /> 6 A/C—Air Handling Units 4 Gas Plying Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gayange Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer 1 Heat Pump&Ductless Dishwasher 3 Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain 1 Sink-Utility,laundry,mop <br /> 7 Exhaust Fans(Residential) Commercial Ventilation 1 Floor Drain 3 Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) . Hose Bibb 1 Urinal <br /> Exhaust Hood(Type II) Water Heater 'interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) Wood Stove 1 Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems 6 Other: GRDs Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log 9 Roof Hoods Roof Drains 1 Water Heater <br /> SPRINKLER/ SUPPRESSION SYSTEM 1 Sewage Ejector or Sump Pump Other: <br /> Water Suppression System No.of Heads 1 Hot Water Pump <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 lam 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 /> P R T#fiI /_ _ eroo <br /> Owner/Authorized Agent Signature Date (Rev sod 10/1�01/2018118)) <br />