209 E CASINO RD LOS GAVILANES 2025-03-24

MECHANICAL PERMIT APPLICATION CITY OF EVERE17 PERMIT SERVICES E V E R E T T SUBMITTAL INSTRUCTIONS: Drop off hard copy paper application&plan to 3200 Cedar Street 2nd Floor Intake Drop Box. WASHINGTON CONTACT INFORMATION:(P)425-257-8810 1(E)PermitServices@everettwa.gov (W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET Q n CL PARCEL M u CITY 4_ L STATE ZIP SUITE/UNIT M / / FLOOR M f ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NA If non-residential): Q G a V' / ^ri 7417,71andaz CONTACT INFORMATION OWNER NAME: OWNER MAILING ADDRE S: STREET S CITY f_l,—r 0 t- STATE ZIP Q OWNER PHONE: JOWNER EMAIL: CONTRACTOR COMPANY NAME: S /' !O r z WA STATE CONTRACTOR LICENSE#(REQUIRED):MCCLORLf8ODB ICITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 62742 CONTRACTOR ADDRESS: STREET /J CITY STATE o ZIP .,2 �( CONTRACTOR PHONE: 4Z, ��N (8,39 1CONTRACTOR EMAIL: 416C Ia s s refr i t:ra`��►�� ma' �,GI,�s PRIMARY CONTACT: ❑OWNER ®CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: ' J / (J rCONTACT EMAIL:� Glaskyvf � rQgVk1j/,cot" MECHANICAL PERMIT INFORMATION VALUATION OF WORK:$ UQ d d ASSOCIATED PERMIT#(if applicable): (Valuation shall include the prevaiing fair matket value of all labor,materials,and equipment needed to complete the work,whether actualy paid or not.)— BUILDING TYPE: ❑SFR []Townhouse ❑Duplex ❑ADU ❑Multi-Family j--#Units: Commercial ❑Accessory�Sttrructure DESCRIPTION OF WORK: / S r f L ��`r+ ` 6, iCIVI ,S S 1 I I I S 1 r iOt�;�j �rvtd h e v� I 16e,"Vo, (ICAOr vt-h Cu v)de !I°1S7I frf` l-d I P ral �� 1 'sscl eS�(vacu ar U1 Qr MECHA ICAL PItRMIT FIXTURE COUNT (SCOPE OF WO K) Fixture Fixture Count List of Fixtures Count List of Fixtures (Qty) (Q(Y) A/C Unit(attach plan with location of outdoor unit) Gas Piping-List#of outlets in fixture count Air Handling Unit** Gas Appliance** Boiler(most require backflow prevention)** Gas Fireplace,Insert,and/or Log(*for commercial bidgs) Commercial Refrigeration(walk-in coolers,VRF,VRV,etc.) IGas-Other(List Type): ** Commercial Ventilation(corridors,stairwell,pressurization,etc.) Heat Pump(attach plan With location of outdoor unit) Compressors/Generators(building permit maybe required)** Heat Pump Ductless(attach plan With location of outdoor unit) Clothes Dryer Exhaust Hydronic Piping Duct System(additions,alterations) Unit heater(commercial use) 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 II*** 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#'a,ad detailed description of work,and the location of the equipment. Type I hood and Type li 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.gov/permits 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 ofa 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.I am the owner,or I am authorized by the owner of this property to perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only 4CA PERMIT# III � /�(� r ^ D q Owner/AuthorJzocLAg nature SI Date (Revised 412112022) 1