4328 CRESCENT AVE 2025-07-30 - Laserfiche WebLink

t• EVERETT WASHINCTON MEG. iANICAL PERMIT APPLIC/ 'ON CITY OF EVERETT PERMIT SERVICES SUBMITTAL INSTRUCTIONS: Drop off hard copy paper application & plan to 3200 Cedar Street 2nd Floor Intake Drop Box. CONTACT INFORMATION: (P) 425-257-8810 1 (E) PermitServices@everettwa.gov I (VV) everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: CRESCENT AVE (lot 2) PARCEL #: 00605501500600 clr, EVERETT STATE WA ZIF 98203 SUITE/UNIT #: FLOOR #: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME (if non-residential): CONTACT INFORMATION OWNER NAME: AMA VENTURES LLC OWNER MAILING ADDRESS: STREET PO BOX 271 cITY LAKE STEVENS STATE VVA zip 98258 OWNER PHONE:4255082465 OWNER EMAIL: pavelgpa@gmail.com CONTRACTOR COMPANY NAME: GPA ENTERPRISES INC WA STATE CONTRACTOR LICENSE #(REQUIRED): GPAENEI853D5 I CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 62284 CONTRACTOR ADDRESS: STREET PO BOX 271 CITY LAKE STEVENS STA-_ WA ZIP 98258 CONTRACTOR PHONE.4255082465 ICONTRACTOR EMAIL: pavelgpa q@gmail.com PRIMARY CONTACT: 21 OWNER ❑ CONTRACTOR _i OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: MECHANICAL PERMIT INFORMATION VALUATION OF WORK: $ ti'( L � ASSOCIATED PERMIT # (if applicable): RB2307-001 (Valuation shall include the prevailing fair ma et value of all labor, materials, and equipment needed to complete the work. whether actually paid or not.) BUILDING TYPE: OSFR CTownhouse ::]Duplex ❑ADU Multi -Family - # Units: ❑Commercial []Accessory Structure DESCRIPTION OF WORK: MECHANICAL PERMIT FIXTURE COUNT (SCOPE OF WORK) Fixture Count '^'V) List of Fixtures Fixture Count (QtY) List of Fixtures 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.) Gas - Other (List Type): ** Heat Pump (attach plan with location of outdoor unit) Commercial Ventilation (corridors, stairwell, pressurization, etc.) Compressors/Generators (building permit may be required) ** Heat Pump Ductless (attach plan with location of outdoor unit) Clothes Dryer Exhaust Hydronic Piping Unit heater Water Heater (gas or electric) oo ellet Stove or Insert Duct System (additions. alterations) tA Exhaust Fan (residential or commercial use) t Exhaust Hood (residential over stove) Exhaust Hood Type I *** Other (List Type): Exhaust Hood Type II *** Other (List Type): Other (List Type): Furnace (residential) * For commercial gas fireplaces, please attach plans and m r'y In a0k4o I ** Under Description of Work, please Include Type of Equip mo I ,Y 6412d s o ork. and the location of the equipment. *** Type I hood and Type II hoods shall be on a stand alone anical Permit application and req r plan review. Please submit the required documents as described in the associated Checklists online at Everett /pe d t lists & n uts tab. ACKNOWLEDGEMENT. I have reviewed this application and confirm thetrhfddnatton Contained nersipis true ano oar cr. vvorK cone pursuant to tors permit muai wmNry VVa current federal. state, and local law. The granting of a permit only authorizes approved work and no deviations thelefforri. Deviations must first be authorized in writing from the Building Official before being authorized under any circumstance. 1 am the oi,n&,_F 'a0FhE*)d�qC I I of this property to perform the work for which application is made and / comply with the State Contractors Law 18.27 RCW and 296.200A WAC C I A I Permit Services City of Everett Official Use Only OwnerlAuthorized Agent Signature I I Date PM2A0S - � 2 (Revised 412112022) g22k03 -3 �-