Laserfiche WebLink
• 11 <br /> MECHANICAL PERMIT APPLICATION <br /> EVERETT CITY OF EVERETT'PERMIT SERVICES <br /> SUBMITTAL INSTRUCTIONS:Drop off hard copy paper apprlcation&plan to 3200 Cedar Street 2nd Floor Intake Drop Box. <br /> WASHINGTON CONTACT INFORMATION:(P)425.257.8810 I(E)everetteps©everettwa,gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: MEET 701 75th st PARCEL#: 005462 <br /> cm, Everett STATE WA ZIP 98203 <br /> SUITE/UNIT#::72.2..and 7. -LOOR#: ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(If non-residential):Wiliams Investment <br /> CONTACT INFORMATION <br /> OWNER NAME: Williams Investment <br /> OWNER MAILING ADDRESS: ,rHttr 2517 Coby Ave <br /> env Everett STATE WA zip 98201 <br /> OWNER PHONE:425-355-0353 lOWNER EMML: <br /> CONTRACTOR COMPANY NAME:Woods Creek Plumbing Inc <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):WOODSCP853DB CITY OF EVERETT BUSINESS LICENSE*REQUIRED):63977 <br /> CONTRACTOR ADDRESS: STREET1010 Walbum Rd <br /> cry Everett STATE WA zip 98294 <br /> CONTRACTOR PHONE:4255-289-6728 CONTRACTOR EMAIL:woodscreekplumbing©gmail.com <br /> PRIMARY CONTACT: ©OWNER ❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME Weston Leitch CONTACT PHONE:425-289-6728 <br /> CONTACT EMAIL:woodscreekplumbing@gmail.com <br /> MECHANICAL PERMIT INFORMATION <br /> VALUATION OF WORK:$14,O(() ASSOCIATED PERMIT#(if applicable):I -,L t;J — LC <br /> (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually pbid7Sr not) <br /> BUILDING TYPE: OSFR OTownhouse ODuptex OADU 2JMulti-Family-#Units: ❑Commercial OAccessory Structure <br /> DESCRIPTION OF WORK: <br /> add whole house fan and dryer vent in unit number 12-1 r 2- <br /> MECHANICAL PERMIT FIXTURE COUNT(SCOPE OF WORK) <br /> Fixture Fixture <br /> Count List of Fixtures Count List of Fixtures <br /> ( ) (Qhr) <br /> NC Unit(attach plan with location of outdoor unit) Gas Piping-List#of outlets in fixture count <br /> Aar Handling Unit** Gas Appliance** <br /> Boiler(most require backflow prevention)** Gas Fireplace,Insert,and/or Log(*for commercial bldgs) <br /> Commercial Refrigeration(Watt-in coolers.VRF,VRV.etc.) Gas-Other(List Type): ** <br /> Commercial Ventilation(corridors,stairwell,pressurization,etc.) Heat Pump(attach plan with location of outdoor unit) <br /> Compressors/Generators(building permit may be requlrad)** Heat Pump Ductless(attach plan with location of outdoor unit) <br /> Clothes Dryer Exhaust Hydronic Piping <br /> Duct System(additions,alterations) Unit heater(commercial use) <br /> "7.-. Exhaust Fan(residential or commercial use) Water Heater(gas or electric) <br /> Exhaust Hood(residential over stove) Wood/Pellet Stove or Insert <br /> Exhaust Hood Type I*** Other(List Type): <br /> Exhaust Hood Type it*** Other(list Type): <br /> Furnace(residential) Other(List Type): <br /> * For commercial gas fireplaces,please attach plans and manufacturer's installation manual. <br /> ** Under Description of Work,please include Type of Equipment,model Ifs,ad detailed description of work,and the location of the equipment. <br /> *** 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 <br /> described in the associated Checklists online at everettwa.gov/permits under the C heddlsts&Handouts tab. <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 pent 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.l am the owner,or!am authorized by the owner of this properly to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> C �ZZR z?__OS -- OZ2 <br /> Owner/Authorized Agent Date (Revised 2/812021) <br />