6300 MERRILL CREEK PKY A-300 PH SCIENCES 2025-04-16

air • PERMIT APPLICATION IIBUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 6300 Merrill Creek Pkwy, Suite A-300 PROPERTY TAX#: 28040200301500 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: NWB Merrill Creek LLC TENANT NAME(If Commercial): PH Sciences OWNER MAILING ADDRESS: STREET 801 2nd Ave, Suite 1300 CITY Seattle STATE WA ZIP 98104 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Evergreen Refrigeration CONTRACTOR ADDRESS: STREET 727 South Kenyon St. aTv Seattle STATE WA ZIP 98108 CONTRACTOR PHONE: 206-763-1744 CONTRACTOR EMAIL: alexb@evergreenhvac.com CONTRACTOR LICENSE#(REQUIRED): EVERGRL954R2 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):044350 PRIMARY CONTACT: ❑OWNER VCONTRACTOR 0 OTHER(Please Specify) CONTACT NAME:Alex Burkhart CONTACT PHONE:206-763-1744 ext. 247 CONTACT EMAIL: alexb@evergreenhvac.com BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$26,971.00 Proposed Use of Building: Heat Source: El Gas ❑Electricc� � ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex�Multi-Family-#of Units: HCommercial 0 Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Installation of ductwork, grilles/diffusers, and one (1) exhaust fan. ASSOCIATED BUILDING PERMIT#(if applicable): B2104 000 t ' l o S-o1-4 MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn VAlteration Repair Type of Project: _New _Addn _Alteration Repair #of #of #of #of Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range 1 Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: 1 Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM Chemical or Water No.of Heads 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.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 PERMIT#10/8/21 .q 1-10D O n Owner/Authorized Agent Signature Date (Revised 9/23/2016)