127 E INTERCITY AVE WORK OPPORTUNITIES 2025-08-08

MECHANICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS: Drop off hard copy paper application&plan to 3200 Cedar Street 2nd Floor Intake Drop Box, WASHINGTON CONTACT INFORMATION:(P)425-267-8810 i(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 127 E Intercity Ave PARCEL M 00480201200600 clTv Everett STATE WA zip 98208 SUITEIUNIT#:Suite B FLOOR#: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential):The Arc of Snohomish County CONTACT INFORMATION OWNER NAME: Work Opertunities OWNER MAILING ADDRESS: STREET 127 E Intercity Ave, Suite A crry Everett STATE WA ZIP 98208 OWNER PHONE:425-778-2156 OWNER EMAIL:carrie@workopportunities.org CONTRACTOR COMPANY NAME:AII Star Heating &AC WA STATE CONTRACTOR LICENSE#(REQUIRED):ALLSTHAO44.JK iciTy OF EVERETT BUSINESS LICENSE#(REQUIRED): 34555 CONTRACTOR ADDRESS: sTREETPO BOX 70 clTv Fall City STATE WA zip 98024 CONTRACTOR PHONE:425-222-7652 1CONTRACTOR EMAIL:general@allstar-hvac.com PRIMARY CONTACT: ❑OWNER Z CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME:'Patrick Converse CONTACT PHONE:425 222-7652 I� L CONTACT EMAIL:general@allstar-hvac.com MECHANICAL PERMIT INFORMATION VALUATION OF WORK: $19,135.00 ASSOCIATED PERMIT#(if applicable): (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Famlly-#Units: ❑✓Commercial ❑Accessory Structure DESCRIPTION OF WORK: Install ductwork to existing Air Handler for new layout. MECHANICAL PERMIT FIXTURE COUNT (SCOPE OF WORK) Fixture Fixture Count List of Fixtures Count List of Fixtures (Qfy) (Qty) 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 Flreplaco, Insert,and/or Log(fir for commercial bldgs) Commercial Refrigeration(Walk-in coolers,VRF,VRV,eta) Gas-Other(List Type): �ktk Commercial Ventilation(corridors,stairwell,pressurization,etc.) Heat Pump(attach plan with location of outdoor unit) Compressors/Generators(bullding permit may be required) Heat Pump Ductless(attach plan with location of outdoor unit) Clothes Dryer Exhaust Hydronic Piping t Duct System(additions,afteratlons) Unit heater(commercial use) 1 Exhaust Fan(residential or commercial use) Water Heater(gas or electrlc) Exhaust Hood(residential over stove) Wood/Pellet Stove or Insert Exhaust Hood Type I Other(List Type): Exhaust Hood Type II Other(List Type): Furnace(residential) Other(List Type): �k For commercial gas fireplaces,please attach plans and manufacturer's installatlon manual. ir* Under Description of Work,please include Type of Equipment,model It's,ad detailed description of work,and the location of the equipment. Type I hood and Type 11 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.,1 have reviewed this application and con fJrm the Information contalned herein is tare 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 l comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only 12/15/2023 PERMIT# j 4��Vjt I I : OwnerlAuthorized Agent ture Date (Revised 4/21/2022)