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12 <br />MECHANICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />EVERETT SUBMITTAL INSTRUCTIONS: Drop off herd copy paper appliwdon 4 plan to 32W Cedar Street 2nd Floor Intake Drop Box <br />AASHINnTON CONTACT INFORMATION: (P) 425g57-8810I (E) PermitServicesCieverettwa.gov I PM interactions . aov/oermds <br />(Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: ini 1260418th Dr SE PARCEL#: <br />CITY Everett WAre WA nv 98208 <br />SUITEIUNIT 0: FLOOR#: ADDITIONAL LOCATION INFORMATION: <br />TENANT/BUSINESS NAME (if non-residential): <br />CONTACT INFORMATION <br />OWNERNAME: RonaldRock <br />OWNER MAILING ADDRESS: STREET 1260418th Dr SE <br />ciY STATE on <br />OWNER PHONE: 425-225-6001 <br />IOMER EMAIL: ront ancy@Oomcast.net <br />CONTRACTOR COMPANY NAME: After Hours Plumbing <br />WA STATE CONTRACTOR LICENSE#(REQUIRED): PC AFTERHP786JE <br />CITY OF EVERETT BUSINESS LICENSE IAREOUIRED): 65560 <br />CONTRACTOR ADDRESS: STREET 7455 NE 156th Street <br />crn Kenmore SATE WA na 98028 <br />CONTRACTORPHONE: 425-341-3718 <br />CONTRACTOR EMAIL: perlukel23(@gmail.com <br />PRIMARY CONTACT: ®OWNER ❑CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: Ronald Rock <br />CONTACT PHONE: 425-225-6001 <br />CONTACT EMAIL Pon-0ancy@@comcast.net <br />MECHANICAL PERMIT INFORMATION <br />VALUATION OF WORK: f 400 JASSOCIATED PERMIT # (if applicable : E2302-079 <br />(vsWarpnsWauEIWe <br />me pevailn hk memet value or aWatMr materials sna egwlmlemneec'm to compkre Pewaf, vrpmeracf ziypaa or n7i <br />BUILDING TYPE: KSFR I]Tlesnhouse E]Duplex EIADU 11Muh-Farm - #Units. ElCommercial ElAccessory Structure <br />DESCRIPTION OF WORK: <br />Add gas valve and quick -connect fitting after gas meter for portable generator (Champion Tri-Fuel 100416) <br />MECHANICAL PERMIT FIXTURE COUNT (SCOPE OF WORK) <br />Fortune <br />Count <br />(Ofyl <br />Ustor Fxfurss <br />1 <br />Firtune <br />Count <br />(Ofy) <br />Uetof Fxmres <br />A.0 Unit (attach pron vot location of ou wr um) <br />1 <br />Gas Piping - List * of outlets In fixture count <br />Air Handles Unit star <br />Gas Appliance ** <br />Bderen L u e baeknowprevemlor ** <br />Gas Fireplace, Insert amllor Log (* for commercial bldgs) <br />Commercial ReMge; don(Walk�n coolers. VRF, VRV etc.) <br />Goa -Other (tis[Tylx): ** <br />Commercial Ventilation (comer asumeli.. pessuieaeun, etc) <br />Heal Pump (attach plain with location of outdoor unit) <br />CompresaorvGenwaton (Wldre pemit Tray bereWred)** <br />Heal PumpL O'S(arisen plan Min location of outdoor unit) <br />Cldhes Dryer Exhaust <br />Mydrmic Piping <br />Dud system uornme, operations) <br />Unit heater (commercial use) <br />Exhaust Fan(resideniM or commercial use) <br />IWater Heater(gas or aeddc) <br />Exhaust Hwtl (residential over stove) <br />Wwdlvell a Stove or Insert <br />Exhaust Hood Type I *** <br />10ther (List Type)' <br />Exhaust Hwd Type II saw <br />jUri Type)'. <br />Furnace(reselemial <br />Other ListType) <br />* For commercial gas fireplaces, please attach playa and manohctureh insta bitim manual. <br />** Under Desorption of Work, please include Type of Equipment model #s, ad detailed description of Mill and the location of the equipment. <br />*** Type I hi and Type II foods 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 everelMa. rnlpennita under the Checklists S Handouts tab. <br />_..__.._--_-...-......,-..-.e-.......-.err.-a,,.,.,...�..,,P..A...... ... ,....,.m,,,..w..... m aF =,x,vvrr awe pursuer m cos banner cram campy wren <br />rvreM M1ewrar, Sias, aedlpcN law. TM pranarq o/e {enrvf mly auMmmt eppovad rck antl.rc bvedms McMwn. Oev4ewrs muat{iraf De erRhorvedn wraNtp hom Me <br />$WarnO* balweb arllaizW wl8.ty Cimurrufaee lam theowsar. wlam auNarizerlby Me ow.ar of Mrs p'opltybpa'M-.^N.e wok MVAtich e{picNcnal b. <br />end I wnrPlY WM Ile Slas Coraracbs law fa.2) RCWart1296.2WA WAC <br />Cky of Eve2ft OMclal Use Only <br />_ PERMIT # <br />2/23/2023 <br />OWrrerlAu bled Argent 5Date (Rensed V2112O12) <br />