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MECHANICAL PERMIT APPLICATION <br /> EVERETT 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 /> WASHINQTON CONTACT INFORMATION:(P)425.257.88101(E)everettepseeverettwa,gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: smEET 701 75th st PARCEL#: 005462 <br /> cny Everett STATE WA ZIP 98203 <br /> SUITE/UNIT#: `l[l in f FLOOR#: ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(' non-residence):Wiliams Investment <br /> CONTACT INFORMATION <br /> OWNER NAME: Williams Investment <br /> OWNER MAILING ADDRESS: srtr 2517 Coby Ave <br /> cm' Everett STATE WA ap 98201 <br /> OWNER PHONE:425-355-0353 'OWNER EMAIL; <br /> CONTRACTOR COMPANY NAME:Woods Creek Plumbing Inc <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):WOODSCP853DB CITY OF EVERETT BUSINESS LICENSE#t(REQUIRED):63977 <br /> CONTRACTOR ADDRESS: sine r1010 Watbum Rd <br /> cry Everett STATE WA , 98294 <br /> CONTRACTOR PHONE:425-289"6728 CONTRACTOR EMAIL:woodscreekplumbing@,gmail.com <br /> • <br /> PRIMARY CONTACT: ©OWNER ❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME:Weston lei ch CONTACT PHONE:425-289-6728 <br /> CONTACT EMAIL:woodscreekplumbing©gmail.com <br /> MECHANICAL PERMIT INFORMATION <br /> VALUATION OF WORK:$ ,' 'ASSOCIATED PERMIT#(if a v <br /> (Valuation shall include the prevailing fair al-Mabee,ail ,materials,and equipment needed to corn to the work,umether or not <br /> BUILDING TYPE: OSFR !]Townhouse DDupiex DADU ©Mufti-Family-#Units: DCommercial DAccessory Structure <br /> DESCRIPTION OF WORK: <br /> add whole house fan and dryer vent in unit numbers Cth ,cii . ;cil69, q 7_a_, <br /> MECHANICAL PERMIT FIXTURE COUNT(SCOPE OF WORK) ca.2-5.q , °?, !y <br /> Fixture Fixture <br /> Count List of Fxtrrres Count List of Fixtures <br /> (Qty) (City) <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 bac flow prevention)** Gas Fireplace,Insert,and/or Log(*for commercial bidgs) <br /> Commercial Refrigeration(Wak-in coolers,VRF.VRV.etc.) Gas-Other(List Type): ** <br /> Commercial Ventilation(corridors,stammer,presswizeuon.etc.) Heat Pump(attach plan with Location of outdoor unit), <br /> Compressors/Generators(building permit may be required) A Heat Pump Ductless(attach plan with location of outdoor unit) <br /> e Clothes Dryer Exhaust Hydronic Piping <br /> Duct System(additions,alterations) t7 Unit heater(commercial use) <br /> -Exhaust Fan(residential or commercial use) Water Heater(gas or electric) <br /> Exhaust Hood(residential over stove) Wood/Pellet Stove or Insert <br /> • <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 /> ACKNOWLEDGEM NT t have reviewed this a,gi*abort and oonliim the information contained herein is hue and correct Work done pursuant to this permit must comply with <br /> current federal,state,and local law.The granting of a permit pity authorizes approved work and no deviations Moreton Deviations must first be authorized in writing from the <br /> Building Official before being authorized under any circumstance.l 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 /> OL11. 171. E <br /> Owned MMetMedA01it Date (Revised 2/8/2021) <br /> /f <br />