920 W MARINE VIEW DR PROPULSION CONTROLS ENGINEERING 2026-01-05

MECHANICAL PERMIT APPLICATION EVERETT CITY OF EVERETT PERMIT SERVICES SUBMITTAL INSTRUCTIONS:Drop off hard copy paper application&plan to 3200 Cedar Street 2nd Floor Intake Drop Box. WAS INGTON CONTACT INFORMATION:(P)425.257,8810 1(E)everetteps@everetlwa.gov i(W)evereltwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: sTREEr 920 W MARINE VIEW DR PARCEL#: 0252031 crrY Everett STATE Wa uP 98201 SUiTEfUNIT#: FLOOR M ADDITIONAL LOCATION INFORMATION; TENANT/BUSINESS NAME(if non-residentlal):PROPULSION CONTROLS ENGINEER CONTACT INFORMATION OWNER NAME: PROPULSION CONTROLS ENGINEER OWNER MAILING ADDRESS: STREET 920 W MARINE VIEW DR crry Everett STATE WA zip 98201 OWNER PHONE:425-257-9065 JOWNER EMAIL:cheri.montgomery@pceeverett.com CONTRACTOR COMPANY NAME.-Evergreen State Heat and AC WA STATE CONTRACTOR LICENSE#(REQUIRED):EVERGSS0220T ICITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 007955 CONTRACTOR ADDRESS: 111EEr2120 Pacific Ave c" Everett sTATE WA aP 98201 CONTRACTOR PHONE:425 252-31 14 CONTRACTOR EMAIL:Cliff@essmwa.COm PRIMARY CONTACT: ❑OWNER (21 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME;C l i ff Anderson d e rs o n CONTACT PHONE:425 754-0596 J'1 CONTACT EMAIL:Cliff@essmWa.com MECHANICAL PERMIT INFORMATION VALUATION OF WORK:$5700 ASSOCIATED PERMIT#(if applicable):E2201-184 (valuation shall Include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,Whether aclua)ly pald or not.) BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex EIADU ❑Multi-Family-#Units: OCommerciai DAccessory Structure DESCRIPTION OF WORK: Re ACe liYe Uh+f ��`iTCr. MECHANICAL PERMIT FIXTURE COUNT (SCOPE OF WORK) Fixture Fixture Count List of Fixtures Count List of Fixtures (c2cy) (L21) A/C Unit(attach plan with location of outdoor unit) Gas Piping-Ust#of outlets in facture count Air Handling Unit** Gas Appliance** Boiler(most require backflow prevention)** Gas Fireplace,Insert,and/or Log(*for commercial bldgs) Commercial Refrigeration(Want-in coolers,VRF,VRV,etc.) Gas-Other(List Type); ** Commercial Ventilation(corridors,stairwell,proswrization,etc.) Heat Pump(attach plan with location of outdoor unit) Compressors/Generators(building perrn!t maybe required)** Heat Pump Ductless(attach plan with location of outdoor unit) Clothes Dryer Exhaust Hydronlc Piping Duct System(additions,alterations) I I UnlI heater(commercial use) Exhaust Fan(residential or commercial use) Water Heater(gas or electric) Exhaust Hood(resldential over stove) Wood/Pellet Stove or Insert Exhaust Hood Type i Other(List Type); Exhaust Hood Type 11*** Other(List Type): Furnace(residential) Other(List Type): * For commercial gas fireplaces,please attach plans and manufacturer's installation manual. ** Under Desorption of Work,please include Type of Equipment,model#'s,ad detailed description of work,and the location of the equipment. k** Type!hood and Type II hoods shall be on a stand alone Mechanical Permit application and requires plan review.Please submit the required documents as described in the associated Checklists online at everettwa.gov/permits under the Checklists&Handouts tab. ACKNOWLEDGEMENT I have reviewed flits application and confirm the information contained herein Is(rue and correct.Work done pursuant to th/s permit mustcomp/ytvi current federal,stale,and local law. The granting of a permit only authorizes approved work and no deviations therefrom,Deviations must fast be authorized in writing from the Building Official fore being authorized under any circumstance, I am the owner,or I am authorized by file owner of ihls property to perform the work for which application Is made, and I comply the le Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# 1/25/2022 M 2?iG) 'I- 0 Ownd rized ent Signature Date (Revised 2/8/2U21)