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PERMIT APPLICATION <br /> BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER/ DEMOLITION <br /> EVERETT 32CITY OF EVERETT PERMIT SERVICES <br /> 00 CEDAR STREET, EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 i FAX425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS.2929 Pine Street, Everett,WA 98201 PROPERTY TAX#:Federa'Tax ID-91-oe-11770 Parcel Number—00439069506300 <br /> LEGAL for new construction: Short Plat/subdivision N/A Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Kaiser Permanente/Gretchen Benzin TENANT BUSINESS NAME(Commercial): Kaiser Permanente <br /> OWNER MAILING ADDRESS: STREET 1200 SW 27th Street <br /> CITY Renton STATE WA ZIP 98057 <br /> OWNER PHONE: 206-630-6726 OWNER EMAIL:Gretchen.L.Benzin@kp.org <br /> CONTRACTOR NAME: McKinstry CO LLC <br /> CONTRACTOR ADDRESS: STREET 5005 3rd Ave S <br /> CITY Seattle STATE WA ZIP 98134 <br /> CONTRACTOR PHONE:206.762.3311 CONTRACTOR EMAIL:audiew@mckinstry.com <br /> CONTRACTOR LICENSE#(REQUIRED):MCKINCL942DN CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 049226 <br /> PRIMARY CONTACT: ❑OWNER ❑ CONTRACTOR 0 OTHER(Please Specify) Engineer <br /> CONTACT NAME: CONTACT PHONE:206-963-2091 <br /> Eric Sweet CONTACT EMAIL:esweet@mazzetti.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:N/A Contract Price of Work: $151,100 <br /> Proposed Use of Building:Medical Office Building Parking Heat Source: ❑Gas ElElectric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse []Duplex ❑ADU ❑Multi-Family-#Units: ElCommercial ❑Accessory Structure <br /> Type of Project: ONew ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Provide new HVAC systems in the new 6 level parking structure. <br /> New equipment includes Heat pumps, fans, and unit heaters. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures Count List of Fixtures Count List of Fixtures List of Fixtures <br /> Count <br /> A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer 2 Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> 2 lExhaust Fans FResidenti�a+) Commercial Ventilatior Floor Drain Toilet <br /> Exhaust Hood(Type 1) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type 11) Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log 2 Unit heater Roof Drains Water Heater <br /> SPRINKLER/ SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System No.of Heads <br /> ACKNOWLEDGEMENT:/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.1 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 /> Eric Sweet - 4/2/21 <br /> Owner/Authorized Agent Signature Date (Revised 1011012018) <br />