701 COLBY AVE 2025-09-10 - Laserfiche WebLink

ME.;HANICAL PERMIT APPLICiw,dON CITY OF EVERETT PERMIT SERVICES E V E R E T T SUBMITTAL INSTRUCTIONS:Drop off hard copy paper application&plan to 3200 Cedar Street 2nd Floor Intake Drop Box. WASHINGTON CONTACT INFORMATION:(P)425.257.8810 1(E)everetteps@everettwa.gov I(W)evereltwa.gov/permits (B/tie or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET •70 C,A-&° AVe• PARCEL#: QU y (p?/ 38 Ov If OCJ crry W/A. STATE \4 A, zip q SUITEIUNIT M FLOOR M ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential): --rI rm C RF,tQ C- CONTACT INFORMATION OWNER NAME: CfIA& L OWNER MAILING ADDRESS: STREET '7O► o`b e- CiTY V'e—C \l' STATE w A ZIP 4 2 D OWNER PHONE: -f25" 320-(ot(( 1OWNER EMAIL: CONTRACTOR COMPANY NAME: H A 1/J k 9,o-r H69-S CON 5 U Crlo tJ LLB WA STATE CONTRACTOR LICENSE#(REQUIRED): HAW 3 C272LIC CITY OFr,EEVERETT BUSINESS LICENSE#(REQUIRED): 70 CONTRACTOR ADDRESS: STREET q S IG� CITY Q STATE ZIP CONTRACTOR PHONE(g2-5) 530 36 c7 3 CONTRACTOR EMAIL: Z> " I'1CAv��f�lhe t SCOnS�t vC�jO��.GGir PRIMARY CONTACT: ❑OWNER CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: I CONTACT PHONE: Cr 3p 3 CONTACT EMAIL: ! aww@ hoAbroone-csC-o%-,S4rv4 ion CAN, MECHANICAL PERMIT INFORMATION ! VALUATION OF WORK:$ 2.5bo ASSOCIATED PERMIT#(if applicable): (Valuation shall include the prevaging fair market value of all labor,materials,and equipment needed to complete the work,whether actualiy paid or not.) BUILDING TYPE: SFR ❑Townhouse ❑Duplex ❑ADLI ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure DESCRIPTION OF WORK: i T\cAGr< t z\NCV _ YWA VCyYV a '('e-p(oce oA` bo,%m-v-, eYVP�Lksf'� � MIT FIXTURE COUNT SCOPE OF WORK! MECHANICAL PER ( ) Fixture Fixture Count List of Fixtures Count Lfst of Fixtures (Qty) Pity) A/C Unit(attach plan with location of outdoor unit) — Gas Piping-List#of outlets in fixture count Air Handling Unit** Gas Appliance** Boller(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): ** Commercial Ventilation(corridors,stairwell,pressurization,etc.) Heat Pump(attach plan with location of outdoor unit) Compressors/Generators(building permit maybe required)** Heat Pump Ductless(attach plan with location of outdoor unit) Clothes Dryer Exhaust — Hydronle Piping Duct System(additions,alterations) Unit heater(commercial use) Exhaust Fan(residential or commercial use) Water Heater(gas or electric) Exhaust Hood(residential over stove) Wood/Pellet Stove or Insert Pq Exhaust Hood Type I*** Other(List Type): �Ai 11 1.,1, I — Exhaust Hood Type II*** Other(List Type): Furnace(residential) 1 Other(List Type): * For commercial gas fireplaces,please attach plans and manufacturer's installation manual. CITY OF E V E R E T ** Under Description of Work,please include Type of Equipment,model#'s,ad detailed description of work,and the location of the"`FMTt e ry i g S Type I hood and Type II hoods shall be on a stand alone Mechanical Permit application and requires plan review.Please submit the re''q''u++relld ocumen s *** described in the associated Checklists online at everettwa.gov/permits under the Checklists&Handouts tab. 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 current federal,state,and local law.The granting ore permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the Building Oft lal 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 1 comply with the State Contractors Law 18. RCW and 296.200A WAC. City of Everett Officiai Use Only PERMIT# l b 02 3 1 /X -S l C� - U Owner/Authorized Agent Signature I Date (Revised 2/8/2021)