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MECI .NiCAL PERMIT APPLICA, .JN <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 1 (E)PermitServices@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 2300 Merrill Creek Pkvey PARCEL#: 28040200300200 <br /> CITY Everett STATE WA Zip 98203 <br /> SUiTE/UNIT#: FLOOR#: 1 ADDITIONAL LOCATION INFORMATION: server Room <br /> TENANTIBUSINESS NAME(if non-residential):ZAP Energy <br /> CONTACT INFORMATION <br /> OWNER NAME: Rainer Properties <br /> OWNER MAILING ADDRESS: STREET 1118 2nd St <br /> CITY Mukilteo STATE WA Zip 98275 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR COMPANY NAME:Auburn Mechanical <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):AUBURMI163BA CITY OF EVERETT BUSINESS LICENSE#(REQUIRED). 33236 <br /> CONTRACTOR ADDRESS: STREET 2623 West Valley Hwy <br /> clTY Auburn STATE WA ZIP 98001 <br /> CONTRACTOR PHONE:253-838-9780 CONTRACTOR EMAIL:Mikhailminasyan@auburnmechanical.com <br /> PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:253-294-4251 <br /> Mikhail Minasyan CONTACT EMAIL:Mikhailminasyan@aubummechanical.cam <br /> MECHANICAL PERMIT INFORMATION <br /> VALUATION OF WORK:$15,604.00- �[, 4 a1 D'G ASSOCIATED PERMIT#(if applicable):B2305-071 <br /> (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) <br /> BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ZCommercial ❑Accessory Structure <br /> DESCRIPTION OF WORK: P1'D lu duCAiA9 M ?WV;p(� CprJl'tn� Ito Sf vv Rm$ Conra I Km as shown 'I,, G�t"lotl <br /> EE— <br /> A . i , T <br /> MECHANICAL PERMIT FIXTURE COUNT(SCOPE OF WORK) <br /> Fixture Fixture <br /> Count List of Fixtures Count List of Fixtures <br /> MW (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.) IGas-Other(List Type): ** <br /> Commercial Ventilation(corridors,stairwell,pressurization,etc.) Heat Pump(attach plan with location of outdoor unit) <br /> Compressors/Generators(building permit may be required)** Heat Pump Ductless(attach plan with location of outdoor unit) <br /> Clothes Dryer Exhaust Hydronic Piping <br /> + Duct System(additions,alterations) Unit heater(commercial use) <br /> Exhaust Fan(residential or commercial use) Water Heater(gas or electric) <br /> Exhaust Hood(residential over stove) Wood/Pellet Stove or Insert <br /> Exhaust Hood Type I*** 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 li 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 everettwa.gov/permits under the Checklists 8 Handouts tab. <br /> ACKNOWLEDGEMENT:t 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.f am the owner,or/am authorized by the owner of this property to perform the work for which application is made, <br /> and l comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> Digitally signed by Mikhail Minasyan <br /> City of Everett Official Use Only <br /> Mikhail Minasyan Me i Mikhail Minasyan,OU=Users,OU=Auburn PERMIT# Z30� <br /> Mechanical,DC=AM,DC=LOCAL V "!I <br /> Date:2023.07.11 10:40:01-07'00' <br />