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ti <br />EVERETT <br />wASMNCIrnu <br />MECHANICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />SUBMITTAL INSTRUCTIONS: Drop off hard copy paper application & plan to 3200 Cedar Street 2nd Floor Intake Drop Box. <br />CONTACT INFORMATION: (P) 425.257-88101(E) PermitServices@everettwa.gov I (W) everettwa.gov/permits <br />(Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: STREET 2300hienillCreekPkvry PARCEL#: 28040200300200 <br />CITY Everett STATE WA 7.IP 90203 <br />SUITE/UNIT N: FLOOR M 1 ADDITIONAL LOCATION INFORMATION: Server Room <br />TENANT/BUSINESS NAME (if non-residential): ZAP Energy <br />CONTACT INFORMATION <br />OWNERNAME: Rainer Properties <br />OWNER MAILING ADDRESS: STREET 1118 2nd St <br />CITY rdukilteo STATE WA Zlp 90276 <br />OWNER PHONE: <br />OWNER EMAIL: <br />CONTRACTOR COMPANY NAME: Auburn Mechanical <br />WA STATE CONTRACTOR LICENSE #(REQUIRED); AUBURM1163BA <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 33236 <br />CONTRACTOR ADDRESS: STREET2623 West Valley Hwy <br />city Auburn STATE WA ZIP 08001 <br />CONTRACTOR PHONE: 253-838-9780 <br />CONTRACTOR EMAIL: Mikhailminasyan@auburnmectianical.com <br />PRIMARY CONTACT: ❑ OWNER © CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />Mikhail M i n asya n <br />CONTACT PHONE: 253-294-4251 <br />CONTACT EMAIL: Mikhailryinasyan@auburnmectianlcal.com <br />MECHANICAL PERMIT INFORMATION <br />VALUATION OF WORK: $ 30.833.00 ASSOCIATED PERMIT # if applicable): B2305-042 <br />(Valuation shall include the prevailing talr market value of all labor, materials, and equlpmenl needed to complete the work, whether actually paid or not.) <br />BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family -# Units: ZCommercial ❑Accessory Structure <br />DESCRIPTION OF WORK: <br />Adding ductwork to provide cooling to server room <br />MECHANICAL PERMIT FIXTURE <br />COUNT (SCOPE OF WORK) <br />Fixture <br />Count <br />(Qty) <br />List of Fixtures <br />Fixture <br />Count <br />MIA <br />List of Fixtures <br />A/C Unit (attach plan with location of outdoor unit) <br />Gas Piping - List # of outlets In fixture count <br />Air Handling Unit ** <br />Gas Appliance ** <br />Boller (most require backflow prevention) ** <br />Gas Fireplace, Insert, and/or Log (* for commercial bldgs) <br />Commercial Refiigeratlon (Walk -In coolers, VRF, VRV, etc.) <br />Gas - Other (List Type): ** <br />Commercial Ventilation (corridors, stairwell, pressurization, etc.) <br />Heat Pump (attach plan with location of outdoor unit) <br />CompressorsiGenerators (building permil may be (equired) ** <br />Heat Pump Ductless (attach plan with location of outdoor unit) <br />Clothes Dryer Exhaust <br />Hydronic Piping <br />Duct System (additions, alterations) <br />Unit heater (commercial use) <br />Exhaust Fan (residential or commercial use) <br />Water Healer (gas or electric) <br />Exhaust Hood (residential over stove) <br />Wood/Pellet Stove or Insert <br />Exhaust Hood Type I *** <br />Other (List Type): <br />Exhaust Hood Type II <br />10ther (Lis( Type): <br />Furnace (residential) <br />10ther (List Type): <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/ ermits under the Checklists & Handouts tab. <br />ACKNOWLEDGEMENT: l have reviewed this application and confirm the information contained herein is frue and correct. Work done pursuant to this permit must comply with <br />currant federal, state, and local law. The granting of permit only authorizes approved work and no deviations therefrom. Deviations must first be aulhorized in writing from tho <br />Building Official before being authorized under any circumstance. / am the owner, or l am authorized by The owner of this property to perform the work for which application is made, <br />and / comply wilh the State Contractors Law 18.27 RCW and 296.200A WAC. <br />Digitally signed by Mikhail Minasyan <br />Mikhail M i n a s y a n Me ani Mikhail AM, D an, Olt=Users, OU=Auburn <br />Mechanical, DC=AM, DC=LOCAL <br />Date: 2023, 07.11 10:40:17-07'00' <br />City of Everett Official Use Only <br />PERMIT # <br />0 <br />/Aavianir d/74/1n991 y i. <br />