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ME�NICAL PERMIT APPLICioO <br />CITY OF EVERETT PERMIT SERVICES 122 <br />V E EVERETT SUBMITTAL INSTRUCTIONS: Drop off hard copy paper application & plan to 320C )Pw <br />ar Street 2nd Floor Intake Dr X. <br />WARNINInrMIM CONTACT INFORMATION: (P) 425-257-8810 1 (E) PermitServices(a).%Jeverettwa.go everettw.a.aoylDermits � <br />(Blue. or Black Ink Only Please) PROJECT SITE INFORIHIATION �,.. <br />PROJECT SITE ADDRESS: STREET 9001 Airport Road PARCEL #: 280414Q&'p00jr 0 F (_ v ` f"EE TT <br />_. CITY Everett STATE WA errs'ZIP 4J821Jces <br />SUITE/UNIT,#: BUILDING 2 FLOOR #: ADDITIONAL LOCATION INFORMATION: <br />TENANT/BUSINESS NAME (if non-residential): <br />"CONTACT INFORMATION t ° <br />OWNER NAME: Mukilteo School District No. 6, Philip R. LaFranchi, Construction Project Manager <br />OWNER MAILING ADDRESS: STREET 8925 Airport Road <br />CITY Everett STATE WA ZIP 98204 <br />OWNER PHONE: 425-890-0384 <br />OWNER EMAIL: LaFranchiPR@mukilteo.wednet.edu <br />CONTRACTOR COMPANY NAME: (S C( iic- A10 11,G <br />WA STATE CONTRACTOR LICENSE #(REQUIRED): <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): <br />CONTRACTOR ADDRESS: STREET 34.?6 ,0(2 'D/Z <br />CITYj��L( aj A.- STATE "� ZIP <br />CONTRACTOR PHONE: <br />CONTRACTOR EMAIL: <br />PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑✓ OTHER (Please Specify) MCGmnahan Amhheate <br />CONTACT NAME: Mitch Kent <br />CONTACT PHONE:253-383-3084 <br />CONTACT EMAIL: mitch.kent@mcgranahan.com <br />IVIECFIANICAL PERMIT INFORMATION <br />VALUATION OF WORK: $ 95,000 ASSOCIATED PERMIT # (if applicable): <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: ❑✓ Commercial ❑Accessory Structure <br />DESCRIPTION OF WORK: <br />Hydronic pump and exp. tank replacement. <br />` MECHANICAL PERMIT FIXTURE <br />COUNT (SCOPE OF WORK) , <br />Fixture <br />Count <br />(Qty) <br />List of Fixtures <br />Fixture <br />Count <br />(Qty) <br />List of Fixtures <br />A/C Unit (attach plan with location of outdoor unit) <br />Gas Piping - List # of outlets in fixture count <br />Air Handling Unit ** <br />Gas Appliance ** <br />Boiler (most require backflow prevention) <br />Gas Fireplace, Insert, and/or Log (* for commercial bldgs) <br />Commercial Refrigeration (Walk-in coolers, VRF, VRV, etc.) <br />Gas - Other (List Type): �k�k <br />Commercial Ventilation (corridors, stairwell, pressurization, etc.) <br />Heat Pump (attach plan with location of outdoor unit) <br />Compressors/Generators (building permit may be required) <br />Heat Pump Ductless (attach plan with location of outdoor unit) <br />Clothes Dryer Exhaust <br />Hydronic Piping <br />Duct System (additions, alterations) <br />Unit heater (commercial use) <br />Exhaust Fan (residential or commercial use) <br />Water Heater (gas or electric) <br />Exhaust Hood (residential over stove) <br />Wood/Pellet Stove or Insert <br />Exhaust Hood Type 1 <br />2 <br />Other (List Type): HydromeSystem Pump <br />Exhaust Hood Type II <br />1 <br />Other (List Type): Hydronic system Expansion Tank <br />Furnace (residential) <br />Other (List Type): <br />* For commercial gas fireplaces, please attach plans and manufacturer's installation manual. <br />�k* 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 11 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 & Handouts tab. <br />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 <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. 1 am the owner, or I am authorized by the owner of this property to perform the work for which application is made, <br />and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />$ DN C'YUS, Eemt h.kent@mcgranahan.como, <br />€a}MCCrhan Archi1-%OU= ON-MITCH KENT 3/22/2023 <br />{ Date?2023ana0122 09:14:38-0700' <br />Date <br />City of Everett Official Use Only <br />PERMIT # <br />(Revised 412112022) <br />