701 75TH ST SE BLDG 4 SHORESIDE VILLAGE 2025-05-15

• ups 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)425.257.88101(E)everetteps everettwa.gov I(W)everettwa.gov/permits (Blue or Black ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: smsT 701 75th st PARCEL#: 005462 cry Everett STATE WA ZIP 98203 SUITE/UNIT#:`-1 i 2r`-!i , Li VLF /hi - ' Lt:5(42 ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential): Whams Investment CONTACT INFORMATION OWNER NAME: Williams Investment OWNER MAILING ADDRESS: sinecr 2517 Coby Ave cry Everett STATE WA zw 98201 OWNER PHONE:425-355-0353 OWNER EMAIL CONTRACTOR COMPANY NAME:Woods Creek Plumbing Inc WA STATE CONTRACTOR LICENSE#(REQUIRED);WOODSCP853DB CITY OF EVERETT BUSINESS LCENSE#(REQUIRED):63977 CONTRACTOR ADDRESS: smecri O1 O Walbum Rd ctry Everett STATE WA zip 98294 CONTRACTOR PHONE:425-289-6728 CONTRACTOR EMAIL:woodscreekplumbing@gmail.com PRIMARY CONTACT: El OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME:Weston ieitch CONTACT PHONE:425-289-6728 CONTACT EMAIL:woodscreekplumbing@gmail_com MECHANICAL PERMIT INFORMATION VALUATION OF WORK:S 16y, ) ASSOCIATED PERMIT# if '_ IMP (Valuation shall include the prevaiing fair t value of a labor.materials,and equipment needed to complete the watt, or BUILDING TYPE: DSFR !]Townhouse ❑Duptex DADU 1]Mrttti-Family-#Units:_ DComm9fola1 OAcoessory Structure DESCRIPTION OF WORK: add whole house fan and dryer vent in unit number 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 baddlow prevention)** Gas Fireplace,Insert,and/or Log(*for commercial bldgs) Commercial Refrigeration(Waft-in coolers,VRF.VRV,etc.) Gas-Other(List Type): ** Commercial Ventilation(corridors,steawret,pressurization,etc.) Heat Pump(attach plan with location of outdoor unit) Compressors/Generators(bulling pemut may be 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(Ust 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 Vs,ad detailed description of work,and the location of the equipment, *** 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.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 of a permit only authorizes approved cork and no deviations therefrom.Deviations must first be authorized in writing from the Building Official before being authorized under any circumstance.lam the owner,or l 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 PER T# 8L1 I 1-(8[ 2 -0 5 O hot � o Date (Revised 2/8/2021)