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il• <br />ii <br />EVERETT <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 Fioor Intake Drop Box. <br />CONTACT INFORMATION: (P) 426-257-8810 i (E) PermitServices@everettwa.gov j (W) everettwa.gov/permits <br />nrnan,nu run <br />(Blue orBlack Ink Only Please) ._PROJECTSITE INFORMATION <br />PROJECT SITE ADDRESS: STan1=r 2300MerriltCreek Pkwy PARCEL M 28040200300200 <br />CRY Evorell STATE WA Tip 90203 <br />SUITE/UNIT M FLOOR M t ADDITIONAL LOCATION INFORMATION: Server Roorn <br />TENANT/BUSINESS NAME (if non-rosidential): ZAP Energy <br />::: ..... ..:.: .......... ....:::CONTACT INFORMA 1 <br />OWNER NAME: Rainer Properties <br />OWNER MAILING ADDRESS: STREET 13182nd St <br />Cliy Mukilleo STATE WA Zip 08275 <br />OWNER PHONE: <br />OWNER EMAIL: <br />CONTRACTOR COMPANY NAME: Auburn Mechanical <br />WA STATE CONTRACTOR LICENSE #(REQUIRED): AUBUHM1163BA <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED)' 33236 <br />CONTRACTOR ADDRESS: sTREt:T2623 West Valley Hwy <br />aTy Auburn STATE WA pip 98001 <br />CONTRACTOR PHONE: 253-838-9780 <br />CONTRACTOR EMAIL: Miktiailminasyan@auburnmechanical.com <br />PRIMARY CONTACT: ❑ OWNER (a CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: Mikhail Minasyan <br />CONTACT PHONE: 253.294-4251 <br />CONTACT EMAIL: Mikhallminasyan@auburnmechanical.com <br />aYfECHANICAL PERNIMINFORMATiO <br />VALUATION OF WORK: $ 20,171 <br />ASSOCIATED PERMIT # if applicable): <br />(Valuation shall Include the prevailing fair market value of all labor, materiels, and equipment needed to complete the work, whether actually paid or not,) <br />BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Mulli-Family - # Units: OCommercial DAccessory Structure <br />DESCRIPTION OF WORK: <br />Re -install natural gas generator piping <br />MECHANICAL PERMIT FIXTURE <br />COUNT (SCOPE OF WORK) <br />Fixture <br />Count <br />(Qty) <br />List of Fixtures <br />Fixture <br />Count <br />(Q(y) <br />List of Fixtures <br />INC Unit (attach plan with location of outdoor unit) <br />IGas Piping - List # of outlets in fixture count <br />Air Handling Unit ** <br />IGas Appliance ** <br />Boiler (most require backfiow prevention) <br />IGas Fireplace, Insert, and/or Log (* for commercial btdgs) <br />Commercial Refrigeration (Walk-in coolers, VRF, VRV, etc.) <br />+ <br />Gas - Other (List Type): <br />Commercial Ventilation (corridors, stairwell, pressurization, eta) <br />Heat Pump (attach plan with location of outdoor unit) <br />Compressors/Generators (bullding permit maybe required) ** <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 Heater (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 11 *** <br />Other (List Type): <br />Furnace (residential) <br />Other (List T e): <br />* For commercial gas fireplaces, please attach plans and manufacturer's Installation manual. <br />** Under Description of Work, please include Type of Equipment, model it's, ad detailed description of work, and (he location of the equipment. <br />Type I hood and Type II hoods shall be on a stand atone Mechanical Permil application and requires plan review. Please submit the required documents as <br />*** described In the associated Checklists online at evarettiva.gov/permits under the Checklists & Handouts tab. <br />ACKNOWLEDGEMENT.' 1 have reviewed this apprrcarron alto confirm me inrormatton conrarneo nerern is oue urru cunecr. rvvrr, vvnv pu.ouura .� ,,,ra ro,„r,= �• ��• ,,,Nv <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 wdpng from the <br />But/ding Official before being authorized tinder any circumstance. I am the owner, or I am authorized by the owner of this property to perform fire work for which application Is made, <br />end I comply with (he State Contractors Law 18.27 RCW and 296,200A WAC. <br />City of Everett Official Use Only <br />Digitally signed by Mikhail Minasyan <br />Mikhail Minas an pN CN-Mikhail Minasyan, OU=Users, OU=Auburn PERMIT # <br />y Dale: 2023.07 1110 39:44L07'00' M <br />Uwnar1Aulhorized Aaant Stanature Date (Rovlsed 412112022) <br />