518 E BEECH ST 2025-06-09 - Laserfiche WebLink

ix MELrIANICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS: Drop off hard copy paper application&plan to 3200 Cedar Street 2nd Floor Intake Drop Box. WASHINGTON CONTACT INFORMATION: (P)425.257.8810 I(E)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREETA..� D {ti� `7 S/ PARCEL#: T�b wh CI sy'a�Pk�i5 I��j'`/j c/ CITY e- ''j STATE VV ZIP c,4427 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential): �[ 1 CONTACT INFORMATION OWNER NAME: 41.1 c`161.t- I J C 41.I ` OWNER MAILING ADDRESS: STREET Po 6BX 2iii CITY l i 11, STATE WI- ZIP L f 3. OWNER PHONE: j4 � �7j�j— '/J 5.6 OWNER EMAIL: Q /31� @fkT4// (orflj ' , CONTRACTOR COMPANY NAME: c + erg WA STATE CONTRACTOR LICENSE#(REQUIRED):G4-KJ /f2J �-6 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):) 7 3er-1 CONTRACTOR ADDRESS: STREET ee) Bp, 7 yl �J/f CITY K( `4` STATE 14/4— ZIP %t�}p08 CONTRACTOR PHONE: t/�I�g 43f a CONTRACTOR EMAIL: j Kesef CP4 me g-)a I`1'IW," PRIMARY CONTACT: ❑OWNER Ilk6ONTRACTOR ❑OTHER(Please Specify) CONTACT NAME:/� ��J; /',% CONTACT CONTACT EMAILE. �15�4?�� MECHANICAL PERMIT INFORMATION VALUATION OF WORK: $ C ' £B( ASSOCIATED PERMIT#(if applicable): O'DLk' (Valuation shall include the�prevailing� fait/market value of all labor,materials,and equipment needed to complete the work,whether actually paid or ot.)`2.A BUILDING TYPE: L►1SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure DESCRIPTION OF WORK: tyre/vs) 1_ Oft 0 sy MECHANICAL PERMIT FIXTURE COUNT (SCOPE OF WORK) Fixture Fixture Count List of Fixtures Count List of Fixtures (QtY) (Qty) A/C Unit(attach plan with location of outdoor unit) Gas Piping-List#of outlets in fixture count Air Handling Unit** Gas Appliance** Boiler(most require backflow prevention)** Gas Fireplace,Insert,and/or Log(*for commercial bldgs) Commercial Refrigeration(Walk-in coolers,VRF,VRV,etc.) Gas-Other(List Type): ** Commercial Ventilation(corridors,stairwell,pressurization,etc.) J Heat Pump(attach plan with location of outdoor unit) Compressors/Generators(building permit may be required)** Heat Pump Ductless(attach plan with location of outdoor unit) j Clothes Dryer Exhaust Hydronic Piping Duct System(additions,alterations)1../. Unit heater(commercial use) Exhaust Fan(residential or commercial use) Water Heater(gas or electric) Exhaust Hood(residential over stove) Wood/Pellet Stove or Insert Exhaust Hood Type I *** Other(List Type): Exhaust Hood Type II *** Other(List Type): Furnace(residential) Other(List Type): * For commercial gas fireplaces,please attach plans and manufacturer's installation manual. ** Under Description of Work,please include Type of Equipment,model#'s,ad detailed description of work,and the location of the equipment. *** 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 described in the associated Checklists online at everettwa.gov/permits under the Checklists&Handouts tab. 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 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 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, and I comply with the State Contr tors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only i14i/ /IV2/7 7 PERMIT# pi ^ 11 O _0 11 Owner/Authorized Agent Signature Date (Revised 2/8/2021)