Laserfiche WebLink
MIIII <br /> PERMIT APPLICATION') <br /> 112 <br /> BUILDIN . ECHANICAL / 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: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 /> c,n Mill Creek STATE WA ZIP 98012 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME:Comfort Systems Northwest <br /> CONTRACTOR ADDRESS: STREET18702 North Creek Pkwy, Suite 110 <br /> CITY Bothell STATE WA ZIP 98011 <br /> CONTRACTOR PHONE:425-883-9224 CONTRACTOR EMAIL:mpomada©csusanw.com <br /> CONTRACTOR LICENSE#(REQUIRED):COMFOSU842LB CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 017389 <br /> PRIMARY CONTACT: ❑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: $ 161,920 <br /> Proposed Use of Building:Same Heat Source: EGas DElectric ❑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: Mechanical Only. Installing 2 HVAC systems, 2 RTUs, 2 Unit Heaters, 1 split system, <br /> 6 exhaust fans, 1 garage exhaust, co/no sensors, Roof hoods & GRDs. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture List of Fixtures Fixture Fixture Fixture <br /> Count count List of Fixtures Count List of Fixtures Count List of Fixtures <br /> 6 A/C—Air Handling Units 4 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 /> 7 Exhaust Fans(Residential) Commercial Ventilation 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 6 Other: GRDs Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/InserULog 9 Roof Hoods 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 /> City of Everett Official Use Only <br /> PERMIT# <br /> Misty Pomada En7:767711"..mm.m,.om.rrn.c"..r m 1/13/2021 <br /> Owner/Authorized Agent Signature Date (Revised 10/10/20 8) j <br /> C/7— <br />