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ME( "-kNICAL PERMIT APPLIC , OECEOVE <br />CITY OF EVERETT PERMIT SERVICES <br />EVERETT SUBMITTAL INSTRUCTIONS: Drop off hard copy paper application & plan to 320 ar St n�X �r�tpke DrQ lox. <br />WASHINGTON CONTACT INFORMATION: (P) 425-257-8810 1 (E) PermitServices@everettwa.go � ) ev a. /p frFtltB �l <br />(Blue or -Black ink Only Please) = PROJECT ,SITE INFORMATION Y 4 <br />9001 Airport Road 280414002� <br />PROJECT SITE ADDRESS: STREET PARCEL #: V31armit Services <br />CITY Everett STATE WA ZIP 98204 <br />SUITE/UNIT #: BUILDING 3 FLOOR #: ADDITIONAL LOCATION INFORMATION: <br />TENANT/BUSINESS NAME (if non-residential): <br />CONTACT INFORMATION <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: WAS ke_t G L-LC <br />WA STATE CONTRACTOR LICENSE #(REQUIRED):44?_Rt P Ob f 3 J ` <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): <br />CONTRACTOR ADDRESS: STREET N(2,r ({ e—, <br />CITY (AN STATE k ZIP 1416 6 <br />CONTRACTOR PHONE: <br />CONTRACTOR EMAIL: <br />PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑✓ OTHER (Please Specify) MOGmnahan Arohdect$ <br />CONTACT NAME'Mitch <br />M I LC11 Kent <br />PHONE:253-383-3084 <br />CONTACT <br />CONTACT EMAIL: mitch.kent@mcgranahan.com <br />° MECHANICAL PERMIT INFORMATION ° <br />VALUATION OF WORK: $ 80,000 <br />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: OCommercial ❑Accessory Structure <br />DESCRIPTION OF WORK: <br />HVAC equipment 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 />1 <br />Gas Appliance ** <br />Boiler (most require backflow, prevention) tktllr <br />Gas Fireplace, Insert, and/or Log (* for commercial bldgs) <br />Commercial Refrigeration (Walk-in coolers, VRF, VRV, etc.) <br />Gas - Other (List Type): �F* <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) 91r91r <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 />1 <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 I tlrtlrtllr <br />Other (List Type): Aircpmpreeaor <br />Exhaust Hood Type II <br />Other (List Type): <br />Furnace (residential) <br />Other (List Type): <br />* For commercial gas fireplaces, please attach plans and manufacturer's installation manual. <br />91r91r Under Description of Work, please include Type of Equipment, model Vs, ad detailed description of work, and the location of the equipment. <br />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 <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. I 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 />141 `oii <br />Oa <br />er/Authorized Agent Signature <br />.igned by MITCH KENT nn <br />S. Emitchkent@mcgranahan.como, M 3/GG�2O23 <br />tnahan Archtests, OU= ON-MITCH KE <br />'3 03 22 09:15:28-0700' <br />Date <br />City of Everett Official Use Only <br />PERMIT # <br />(Revised 412112022) <br />