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MECONNICAL PERMIT APPLICOON <br />CITY OF EVERETT PERMIT SERVICEDD <br />EVERETT SUBMITTAL INSTRUCTIONS: Drop off hard copy paper application & plan to 3200r eIn eE <br />WASHINGTON CONTACT INFORMATION: (P) 425-257-8810 1 (E) PermitServices@everettwa.goveverettwa.gov/permits <br />(BltieorBlack,InkOnJyPlease)` PROJECT SITE INFORMATION,,,_ AR <br />PROJECT SITE ADDRESS: STREET 9001 Airport Road PARCEL #: 280414004 <br />0 0 <br />ET <br />CITY Everett STATE WA Will I 98 <br />eermifrAL <br />SUITE/UNIT #: BUILDING 5 FLOOR #: ADDITIONAL LOCATION INFORMATION: <br />TENANT/BUSINESS NAME (if non-residential): <br />' CONTACT°INPORMATION 8 <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: <br />0" �Pr � /VLj0„C <br />WA STATE CONTRACTOR LICENSE #(REQUIRED): IWA ci/vet.3sp CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): y <br />CONTRACTOR ADDRESS: STREET 3(�S6 &E� bW(� <br />CITY Btr," 14A, STATE W+ ZIP 9,2)I,6 4� <br />CONTRACTOR PHONE: <br />CONTRACTOR EMAIL: <br />PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑✓ OTHER (Please Specify) WGranahan Anhtlects <br />CONTACT NAME: Mitch Kent <br />CONTACT PHONE:253-383-3084 <br />CONTACT EMAIL: mitch.kent@mcgranahan.com <br />,MECHANICAL PERMIT,_INIFORMATION " <br />VALUATION OF WORK: $ 7,500 <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: ❑✓ Commercial ❑Accessory Structure <br />DESCRIPTION OF WORK: <br />Unit heater 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 dirk <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): iF�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 />2 <br />Unit heater (commercial use) <br />t <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 <br />Other (List Type): <br />Exhaust Hood Type II <br />Other (List Type): <br />Furnace (residential) <br />Other (List Type): k <br />�k For commercial gas fireplaces, please attach plans and manufacturer's installation manual. <br />*it 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 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 1 am authorized by the owner of this property to perform the work for which application is made, <br />and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />DIg`C USsigned it MITCH KENT <br />ON-C=US, h; tch.kent@mcg=-, CN MITC , <br />`�-�McGranahan Architects, OU=-, CN=MITCH KENT <br />Oatei2023.032209:17:44-OT00' <br />Owner/Authorized Agent Signature <br />City of Everett Official Use Only <br />3/22/2023 PERMIT # <br />)ate (Revised 412112022) <br />