11201 3RD AVE SE 2023-04-07 - Laserfiche WebLink

• i MINI ix MECHANICAL 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: STREET 11201 3rd Ave SE PARCEL# 00718 900 500 800 CITY Everett STATE Wa ZIP 98208. SUITE/UNIT#:5H FLOOR#: 2 ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential): CONTACT INFORMATION. OWNER NAME: Karon Hanke OWNER MAILING ADDRESS: STREET 1329 No 183rd St cr r Shoreline STATE Wa ZIP 98133 OWNER PHONE:(206)947-8744 OWNER EMAIL:karonhanke@gmail.com CONTRACTOR COMPANY NAME:Ewing General Contractors LLC WA STATE CONTRACTOR LICENSE#(REQUIRED):EWiNGGC827Q1 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED) K"'eE CONTRACTOR ADDRESS: STREET 1 14 NW 181st St 51--.-' CITY Shoreline STATE Wa ZIP 98177 CONTRACTOR PHONE:(206) 930-1702 CONTRACTOR EMAIL:bruceewirlginc@msn.COM PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME:Bruce Ewing CONTACT PHONE:(206)930-1702 CONTACT EMAIL:bruceewinginc@msn.com MECHANICAL PERMIT INFORMATION VALUATION OF WORK:$25,000 ASSOCIATED PERMIT#(if applicable): (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex EADU EMulti-Family-#Units: ❑Commercial OAccessory Structure DESCRIPTION OF WORK: Replace bath, utility, kitchen exhaust fans MECHANICAL PERMIT FIXTURE COUNT(SCOPE OF WORK) Fixture Fixture Count List of Fixtures Count List of Fixtures ((Ny) (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.) /Feat Pump(attach plan-with location of outdoor unit) Compressors/Generators(building permit may be required)** / Heat Pump Ductless(attach with location of outdoor unit) 1 Clothes Dryer Exhaust / ydionic Piping Duct System(additions,alterations) Unit heater(commercial use) 1 Exhaust Fan(residential or commercial use) o Water Heater(gas or electric) t Exhaust Hood(residential over stove) Wood/Pellet Stove or Insert Exhaust Hood Type I*** Other(List Type): Exhaust Hood Type II*** Other(List Types— Furnace(residential) ----Omer(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 reviowed 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 tile Building Offici bef a being authorized under any circumstance,lam the owner,or l am authorized by the owner of this property to perform the work for which application is made, and t c m PERMIT ply th th State Contractors Law 18.27 RCW and 296.200A WAC. 11\ .1 ... City of Everett Use Only . M Z-- 045 Owner! thorized Agent Signature Date (Revised 2/8/2021) 1lz