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15 113TH ST SE 2023-12-04
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15 113TH ST SE 2023-12-04
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Last modified
12/4/2023 2:09:00 PM
Creation date
11/30/2023 11:30:56 AM
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Address Document
Street Name
113TH ST SE
Street Number
15
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MECHANICAL PERMIT APPLICATION <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 15 113th St SE PARCEL#: 00790800002800 <br /> cITY Everett STATE WA zip 98208 <br /> SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential): <br /> CONTACT INFORMATION <br /> OWNER NAME: Laura & Dennis Parrish <br /> OWNER MAILING ADDRESS: STREET 15 113th St SE <br /> CITY Everett STATE WA zip 98208 <br /> OWNER PHONE:206-409-4230 OWNER EMAIL: <br /> CONTRACTOR COMPANY NAME:New Heating & Cooling LLC <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):NEWHEHC842B0 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 61 275 <br /> CONTRACTOR ADDRESS: STIEET8425 219th St SE #102 <br /> CITY Woodinville STATE WA zip 98072 <br /> CONTRACTOR PHONE:4252801734 CONTRACTOR EMAIL:admin@neW-hC.001T1 <br /> PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME:Tess Caban CONTACT PHONE:4252801734 <br /> CONTACT EMAIL:admin@new-hc.com <br /> MECHANICAL PERMIT INFORMATION <br /> VALUATION OF WORK: $16,600.00 ASSOCIATED PERMIT#(if applicable): <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: ZISFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> DESCRIPTION OF WORK: <br /> Replace furnace in existing location. Install an AC unit on wall mount brackets at the left side of the house. <br /> MECHANICAL PERMIT FIXTURE COUNT (SCOPE OF WORK) <br /> Fixture Fixture <br /> Count List of Fixtures Count List of Fixtures <br /> (Qty) (Qty) <br /> t A/C Unit(attach plan with location of outdoor unit) o Gas Piping-List#of outlets in fixture count <br /> o Air Handling Unit** o Gas Appliance** <br /> o Boiler(most require backflow prevention)** o Gas Fireplace,Insert,and/or Log(*for commercial bldgs) <br /> o Commercial Refrigeration(walk-in coolers,VRF,VRV,etc.) ;,0) <br /> Gas-Other(List Type): ** <br /> o Commercial Ventilation(corridors,stairwell,pressurization,etc.) Heat Pump(attach plan with location of outdoor unit) <br /> o Compressors/Generators(building permit may be required)** Heat Pump Ductless(attach plan with location of outdoor unit) <br /> o Clothes Dryer Exhaust Hydronic Piping <br /> o Duct System(additions,alterations) Unit heater(commercial use) <br /> o Exhaust Fan(residential or commercial use) Water Heater(gas or electric) <br /> o Exhaust Hood(residential over stove) o Wood/Pellet Stove or Insert <br /> o Exhaust Hood Type 1 *** o Other(List Type): <br /> o Exhaust Hood Type II *** o Other(List Type): <br /> t Furnace(residential) o 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 11 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:1 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 1 am authorized by the owner of this property to perform the work for which application is made, <br /> and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> Marvin Cordell 09/08/2022 <br /> Owner/Authorized Agent Signature Date (Revised 4/21/2022) <br />
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