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2503 MADISON ST 2023-09-26
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2503 MADISON ST 2023-09-26
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Last modified
9/26/2023 2:04:40 PM
Creation date
9/8/2023 11:46:35 AM
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Address Document
Street Name
MADISON ST
Street Number
2503
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ME!HANICAL PERMIT APPLIC!ION <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT SUBMITTAL INSTRUCTIONS: Drop off hard copy paper application&plan to 3200 Cedar Street 2nd Floor Intake Drop Box. <br /> WASHINGTON CONTACT INFORMATION: (P)425-257-8810 1(E)PermitServices©everettwa.gov i(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 2503 Madison Street PARCEL#: 00544701300901 <br /> CITY Everett STATE WA zip 98203 <br /> SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential): <br /> CONTACT INFORMATION <br /> OWNER NAME: John Barrett <br /> OWNER MAILING ADDRESS: STREET 5315 115ht PI SE <br /> CITY Everett STATE WA ZIP 98208 <br /> OWNER PHONE:2063004081 OWNER EMAIL:jbarrett3©hotmail.com <br /> CONTRACTOR COMPANY NAME:North Sound Heating and Cooling <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):NORTHSH823PP CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): I4 C-7Lj <br /> CONTRACTOR ADDRESS: STREET7329 38th St. NE <br /> CITY Marysville STATE WA ZIP 98270 <br /> CONTRACTOR PHONE:509-945-4598 CONTRACTOR EMAIL:northsoundhvac©gmail.com <br /> PRIMARY CONTACT: ❑✓ OWNER ❑CONTRACTOR ❑ OTHER(Please Specify) _ <br /> CONTACT NAME: CONTACT PHONE:206-300-4081 <br /> John Barrett CONTACT EMAIL:jbarrett3@hotmail.com <br /> MECHANICAL PERMIT INFORMATION <br /> VALUATION OF WORK: $1500 ASSOCIATED PERMIT#(if applicable):132- =eff6" iV Cuff(tom-? <br /> (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) <br /> BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑✓Multi-Family-#Units:4 ❑Commercial ❑Accessory Structure <br /> DESCRIPTION OF WORK: <br /> Replace ducting for dryer vents&bathroom fans(Broan-NuTone HD80L&Broan-NuTone 671)in all units. Re-installing ducting for range hood in units 1&3 and all range hoods(Broan-NuTone 423001). <br /> MECHANICAL PERMIT FIXTURE COUNT (SCOPE OF WORK) <br /> Fixture Fixture <br /> Count List of Fixtures Count List of Fixtures <br /> (Qty) (Qty) <br /> A/C Unit(attach plan with location of outdoor unit) Gas Piping-List#of outlets in fixture count <br /> Air Handling Unit** Gas Appliance** <br /> Boiler(most require backflow prevention)** Gas Fireplace, Insert.and/or Log(*for commercial bldgs) <br /> Commercial Refrigeration(Walk-in coolers,VRF,VRV,etc.) Gas-Other(List Type): ** <br /> Commercial Ventilation(corridors,stairwell,pressurization,etc.) Heat Pump(attach plan with location of outdoor unit) <br /> Compressors/Generators(building permit may be required)** Heat Pump Ductless(attach plan with location of outdoor unit) <br /> 4q Clothes Dryer Exhaust Hydronic Piping <br /> Duct System(additions.alterations) Unit heater(commercial use) <br /> Exhaust Fan(residential or commercial use) Water Heater(gas or electric) <br /> j.( Exhaust Hood(residential over stove) Wood/Pellet Stove or Insert <br /> Exhaust Hood Type I*** Other(List Type):__,.._ <br /> Exhaust Hood Type II *** Other(List Type): <br /> Furnace(residential) Other(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/permits under the Checklists&Handouts tab. <br /> 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 <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 writing from the <br /> 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, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> / City of Everett Official Use Only <br /> � 1•�� //to z_z_ PERMIT# j tJ j ✓ /V; 6 <br /> Owner/Authorized Agent Signature f Date (Revised 4/21/2022) <br />
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