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I>� <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 Floor Intake Drop Box <br />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 1816 112TH ST SE PARCEL M <br />e-,T. EVERETT 'sTAtt WA ap 98208 <br />SUITE/UNIT M FLOOR #: ADDITIONAL LOCATION INFORMATION: <br />TENANT/BUSINESS NAME (if non-residential):SILVERLAKE 76 <br />CONTACT INFORMATION <br />OWNER NAME: FASAL KHAN <br />OWNER MAILING ADDRESS: sTRrr� 1816 112TH ST SE <br />city EVERETT STATE WA zip 98208 <br />OWNER PHONEA25-985-1622 <br />JOWNER EMAIL: SILVERLAKE76@GMAIL.COM <br />CONTRACTOR COMPANY NAME:PYE BARKER FIRE <br />WA STATE CONTRACTOR LICENSE #(REQUIRED): PYEBAFS807DO <br />ICITY OF EVERETT BUSINESS LICENSE #(REQUIRED): <br />CONTRACTOR ADDRESS: s.,i 735 E FAIRHAVEN AVE <br />,.,T, BURLINGTON ;,TATE WA 210 98233 ' <br />CONTRACTOR PHONE:360-755-5444 ICONTRACTOR EMAiL:TAYLORN@PYEBARKERFIRE.COM <br />PRIMARY CONTACT: LJ OWNER f✓l CONTRACTOR L._l OTHER (Please Specify) <br />CONTACT NAME: <br />N i S HA TAYLO R <br />CONTACT PHONE:360-755-5444 <br />CONTACT EMAIL:TAYLORN@PYEBARKERFIRE.COM u <br />MECHANICAL PERMIT INFORMATION <br />VALUATION OF WORK: $y I OC) ASSOCIATED PERMIT # if applicable): <br />(V:aluateon shall include the prevailing fair market value of ail labor, materials, and equipment needed to complete the work, whether actually paid or not.) <br />BUILDING TYPE:: _ISFR I JTownhouse F ;Duplex DADU : IMulb-Famil - # Units: 1611Cornmercial i lAccessory Structure <br />DESCRIPTION OF WORK: <br />SELF CONTAINED FRYER ADDED - FIRE SUPPRESSION SYSTEM TO BE COMMISSIONED <br />MECHANICAL PERMIT FIXTURE <br />COUNT (SCOPE OF WORK) <br />Fixture <br />Count <br />(t?ty) <br />_ <br />List of Fixtures _ <br />Fixture <br />Count <br />(Qty) <br />_ <br />List of Fixtures <br />_ <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 />Boiler (most require backflow prevention) ** <br />!I <br />Gas Fireplace insert, andtor Log (* for commercial bldgs) <br />Commercial Refrigeration (walk-in coolers. VRF, VRV, etc.) <br />,Gas - Other (List Type): _ ** <br />Commercial Ventilation (corridors stairwell, pressurization, rtr:) <br />Heat Pump (attach plan with location of outdoor unit) <br />Heat Pump Ductless (attach plan with location of outdoor unit) <br />Compressors/Generators (building permit may be required) ** <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 />Exhausl 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) J; <br />Otheir (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 it'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 lab. <br />ACKNOWLEDGEMENT: I have reviewed this application and confirm tho information contained herein is true and correct Work done pursuant to this permit most comply with <br />currant fedoras, state, and local taw. Thu grunYrng of a permit only authnrizos approved work and no deviations therefrom Doviabons must first be, authorized in writing from the, <br />Building Official before being authorized under any circurristance I am the nwner, or 1 am authorized by the owner of this property to pprfnrm the work for which application is made. <br />and I cu ^ly with the State, Contractors Law 18.27 RCW and 296 200A WAC <br />(city of Evorott Official Use Only <br />PERMIT # <br />O 4ne/ (horized Agent Signature Date (Revised 412112022) <br />