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MANICAL PERMIT APPLICN <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT SUBMITTAL INSTRUCTIONS: Drop off hard copy paper application&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)everettwagov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 701 75th st PARCEL#: 005462 <br /> en- Everett STATE WA ZIP 98203 <br /> SUITE/UNIT#:613, 614 FLOOR#: ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential): Wiliams Investment <br /> CONTACT INFORMATION <br /> OWNER NAME: Williams Investment <br /> OWNER MAILING ADDRESS: STREET 2517 Coby Ave <br /> cr r Everett STATE WA ZIP 98201 <br /> OWNER PHONE:425-355-0353 OWNER EMAIL: <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: STREET 1010 Walburn Rd <br /> CITY Everett STATE WA zIP 98294 <br /> CONTRACTOR PHONE:425-289-6728 CONTRACTOR EMAIL:WOOdSCreekplumbing@gmail.COm <br /> PRIMARY CONTACT: ❑✓ OWNERR 1 ❑CONTRACTOR El OTHER(Please Specify) <br /> CONTACT NAME:`Weston lO1 1 IeI+lCI1 CONTACT PHONE:425-289-6728 <br /> V v CONTACT EMAIL:woodscreekplumbing@gmail.com <br /> MECHANICAL PERMIT INFORMATION <br /> VALUATION OF WORK: $10,000 ASSOCIATED PERMIT#(if applicable):b21 10-000701 75th st <br /> (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) <br /> BUILDING TYPE: ❑SFR ❑Townhouse ElDuplex ❑ADU I(Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> DESCRIPTION OF WORK: <br /> add whole house fan and dryer vent in unit number 824,833,832,814 <br /> MECHANICAL PERMIT FIXTURE COUNT (SCOPE OF WORK) <br /> Fixture Fixture <br /> Count List of Fixtures Count List of Fixtures <br /> (QtY) (Qty) <br /> A/C Unit(attach plan with location of outdoor unit) Gas Piping-List#of outlets in fixture count <br /> Air Handling Unit** Gas Appliance** <br /> Boiler(most require backflow prevention)** Gas Fireplace, Insert,and/or Log(*for commercial bldgs) <br /> Commercial Refrigeration(Walk-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(huikting permit may be required)** Heat Pump Ductless(attach plan with location of outdoor unit) <br /> Clothes Dryer Exhaust 4 Hydronic Piping <br /> Duct System(additions,aerations) Unit heater(commercial use) <br /> Exhaust Fan(residential or commercial use) 4 Water Heater(gas or electric) <br /> Exhaust Hood(residential over stove) Wood/Pellet Stove or Insert <br /> Exhaust Hood Type 1*** Other(List Type): <br /> Exhaust Hood Type II *** 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#'s,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 everettwagov/permits under the Checklists&Handouts tab. <br /> 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 <br /> 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 <br /> 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, <br /> and I comply with the Stale Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PER IT <br /> 03/10/22 22533--a <br /> owner/Autho lsed Agent Signature Date (Revised 2/8/2021) <br /> fl <br />