701 75TH ST SE BLDG 3 SHORESIDE VILLAGE 2025-05-16

• • ism MECHANICAL PERMIT APPLICATION EVERETT SUBMITTAL INSTRUCTIONS: OF EVERETT PERMIT SERVICES Drop off hard copy paper application&plan to 3200 Cedar Street 2nd Floor Intake Drop Box. WASHINGTON CONTACT INFORMATION:(P)425.257.8810 I(E)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: sirmEr 701 75th st PARCEL/k 005462 c y Everett STATE WA ZIP 98203 SUITE/UNIT#:olI,U ., :I, -LOOR#: ADDITIONAL LOCATION INFORMATION: TENANT/BUSiNESS NAME(if non-residential):Wiliams investment CONTACT INFORMATION OWNER NAME: Williams Investment OWNER MAILING ADDRESS: sneer 2517 Coby Ave clry Everett STATE WA ZIP 98201 OWNER PHONE:425-355-0353 !OWNER EMAIL: CONTRACTOR COMPANY NAME:Woods Creek Plumbing Inc WA STATE CONTRACTOR LICENSE#(REQUIRED):WOODSCP853DB CRY OF EVERETT BUSINESS LICENSE S(REQUIRED):63977 CONTRACTOR ADDRESS: sTeEEr 1 O1 O Walburn Rd cny Everett STATE WA zip 98294 CONTRACTOR PHONE:4.25-289-6728 CONTRACTOR EMAIL:woodscreekplumbing C©gmail.com PRIMARY CONTACT: l 1 OWNER ❑CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME:Weston le itch CONTACT PHONE:425-289-6728 CONTACT EMAIL:woodscreekplumbinmail_com MECHANICAL PERMIT INFORMATION VALUATION OF WORK:S t7 t 000 ASSOCIATED PERMIT# if ate(cable) 2 • ..- (Valuation shall include the prevafing fairer ail labor.materials,and equipment :....:.to complete the work,whether actuall y,.. -amok BUILDING TYPE: ❑SFR OTownhouse ODupiex DADU 11MuIti-Family-#Units: ❑Commercial OAccesso Structure DESCRIPTION OF WORK: add whole house fan and dryer vent in unit number ,522, I D MECHANICAL PERMIT FIXTURE COUNT(SCOPE OF WORK) Fixture Fixture Count List of Fixtures count List of Fixtures (Qty) (Qty) NC Unit(attach plan with location of outdoor unit) Gas Piping-List#of outlets in fixture count Air Handling Unit** Gas Appliance** Boiler(most require backliow prevention)** Gas Fireplace,Insert.and/or Log(*for commercial bldgs) Commercial Refrigeration(Walk-in coolers,VRF.VRV.etc.) Gas-Other(List Type): ** Commercial Ventilation(corridors,stabled,pressurization,etc.) Heat Pump(attach plan with location of outdoor unit) t Compressors/Generators(building pond lding per maybe requh ui)** Heat Pump Ductless(attach plan with location of outdoor unit) CJ� Clothes Dryer Exhaust Hydronic Piping Duct System(addaons,alterations) «< \\\ Unit heater(commercial use) LAtt Exhaust Fan(residential or commercial use) Water Heater(gas or electric) Exhaust Hood(residential over stove) Wood/Pellet Stove or Insert Exhaust Hood Type i*** Other(List Type): Exhaust Hood Type 11*** Other(list Type): _Furnace(residential) Other(List Type): . * For commercial gas fireplaces,please attach plans and manufacturer's installation manual. ** Under Description of Work,please include Type of Equipment,model#'s,ad detailed description of work,and the location of the equipment. *k k 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 described in the associated Checklists online at everettwa.govlpermits under the Checklists&Handouts tab. 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 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 Building Official before being authorized under any circumstance.l am the owner,or I am authorized by the owner of this properly to perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. Orly of Everett Official Use Only PE 11S6121, ` #ZZo5-- 02— Owner/AutherkedAye Date (Revised 2/8f2021)