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MECOANICAL PERMIT APPLICVON <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)PermitServices@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 1520 80th St SW PARCEL#: 00392200002302 <br /> cITY Everett STATE WA ZIP 98203 <br /> SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential):Helion <br /> CONTACT INFORMATION <br /> OWNER NAME: Helion <br /> OWNER MAILING ADDRESS: STREET D EVEN% <br /> CITY STATE <br /> OWNER PHONE: OWNER EMAIL: i <br /> CONTRACTOR COMPANY NAME:UMC, Inc. MAY 9 J <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):UNIVMC*343N9 CITY OF EVERETT BUSINESS CAM cEV RETT t 74 <br /> CONTRACTOR ADDRESS: STREET 11611 49th Place West Permit,Services <br /> CITY Mukilteo STATE WA ZIP 98275 <br /> CONTRACTOR PHONE:206 794-5703 CONTRACTOR EMAIL:bhiggins@umci.com <br /> PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206 704-5703 <br /> Brittney Higgins CONTACT EMAIL:bhiggins@umci.com <br /> MECHANICAL PERMIT INFORMATION <br /> VALUATION OF WORK:$100,000.00 ASSOCIATED PERMIT#(if applicable): <br /> (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) <br /> BUILDING TYPE: ❑SFR ❑Townhouse El Duplex ❑ADU ❑Multi Family-#Units: ❑✓Commercial ❑Accessory Structure <br /> DESCRIPTION OF WORK: <br /> Demo 4 make up air units and 2 package gas units. Install 2 new gas package units and 4 unit heaters.Add a new ventilation fan. <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 /> 2 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 /> Exhaust Fan(residential or commercial use) Water Heater(gas or electric) <br /> Exhaust Hood(residential over stove) Wood/Pellet Stove or Insert ,�t <br /> Exhaust Hood Type I*** Other(List Type): 2') (p'5 P r <br /> Exhaust Hood Type II*** Other(List Type): 14 }AM. <br /> Furnace(residential) Other(List Type): i `c <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: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 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> Digitally signed by Brittney Higgins PERMIT# <br /> Brittney Higgins DN:G=US,E=bhiggins@umci coma "UMG,Inc" <br /> OU=Special Protects Group,CN=Brittney Higgins M2204-063 <br /> Date:2022.05.18 11:00:35-07'00' <br /> Owner/Authorized Agent Signature Date (Revised 4/21/2022) 1/2.— <br />