8102 EVERGREEN WAY EVERETT 4 CORNERS - BLDG D 2025-08-06

ME8IIANICAL PERMIT APPLICA1 ION CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS: Drop off hard copy paper application&plan to 3200 Cedar Street 2nd Floor Intake Drop Box. WASHrNGTON CONTACT INFORMATION:(P)425-257-8810 I(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 8102 evergreen way PARCEL#: 28050700307000 clrr everett STATE washington ZIP 98203 SUITE/UNIT#: building D FLOOR#: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential): f L'IA Y C t,✓ n r'_S be P T CONTACT INFORMATION OWNER NAME: four corners Ilc OWNER MAILING ADDRESS: STREET 10900 NE 8th Street suite 1200 CITY Bellevue STATE washington ZIP 98004 OWNER PHONE:425-453-9551 OWNER EMAIL: CONTRACTOR COMPANY NAME:SEA, Corp WA STATE CONTRACTOR LICENSE#(REQUIRED):SEALCCO927LB CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 61 604 CONTRACTOR ADDRESS: STREET2870 ne hogan dr ste E #464 cm, GRESHAM STATE OREGON ZIP 97030 CONTRACTOR PHONE:503-522-2778 CONTRACTOR EMAIL:SEACORP1 @YAHOO.COM PRIMARY CONTACT: ❑OWNER ©CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME:STEVE I HOSSrIER CONTACT PHONE:503-522-2778 CONTACT EMAIL:SEACORPI @YAHOO.COM MECHANICAL PERMIT INFORMATION VALUATION OF WORK:$187,600.00 ASSOCIATED PERMIT#(if applicable):B2010-051 (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: LSFR ETownhouse ❑Duplex ❑ADU ©Multi-Family-#Units:80 ©Commercial ❑Accessory Structure DESCRIPTION OF WORK: residential unit ventilation MECHANICAL PERMIT FIXTURE COUNT (SCOPE OF WORK) Fixture Fixture Count List of Fixtures Count List of Fixtures (QtY) (CRY) 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 backflow prevention)** Gas Fireplace,Insert,and/or Log(*for commercial bldgs) Commercial Refrigeration(Walk-in coolers,VRF,VRV,etc.) Gas-Other(List Type): ** Commercial Ventilation(corridors,stairwell,pressurization,etc.) Heat Pump(attach plan with location of outdoor unit) Compressors/Generators(building permit may be required)** Heat Pump Ductless(attach plan with location of outdoor unit) so Clothes Dryer Exhaust Hydronic Piping Duct System(additions,alterations) Unit heater(commercial use) 215 Exhaust Fan(residential or commercial use) Water Heater(gas or electric) so 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): * For commercial gas fireplaces,please attach plans and manufacturer's installation manual. ** Under Description of Work,please include Type of Equipment,model#'s,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/perrnits under the Checklists&Handouts tab. ACKNOWLEDGEMENT:l 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 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 I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# _co*. Owner/Authorized Agent Signature Date (Revised 4/21/2 2 f/