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( I <br /> PERMIT APPLICATION • . <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857-www.everettwa.org <br /> APPLICATIDNS ARE ACCEPTED FROM 8 AM TO 4 PM 3 _ j4 '-f0 <br /> SITE ADDRESS Snohomish County Adinin West PARCEL TAX I.D.# PERMIT I <br /> 3000 Rockefeller Ave 00439171600000 ,M03-631 <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION M <br /> DESC. <br /> OWNER ADDRESS C:TYIZIP PHONE <br /> Snohomish Co Prop MGMT 3000 Rockefeller Ave Everett, WA 98036-7406 <br /> TENANT NAME l do CONTACT FOR PERMIT PHONE 206-812-7670 <br /> Snohomish County Administration Andrea Hovey EMAIL ahovey@psfinech.com . <br /> CONTRACTOR ADDRESS CITY/ZIP PHONE <br /> PSF Mechanical, Inc 9322 14th Ave S Seattle,WA 98199 206-812-7670 <br /> CONTR.LICENSE XPSF MEI'090NZ . <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> 671 Executive, Legislative,&Judicial $300,110 <br /> _Electric X Gas Other <br /> WORK DESCRIPTION <br /> Replace two Chillers, two Chilled Water Pumps,and one Cold Deck Chilled Water Coil Bank with new equipment. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _ Toilet __ <br /> A/C-air handling units <br /> _ BathtubForced air systems . 40 <br /> _ Lavatory(wash basin) — Gas piping <br /> _ Shower •_. Water heater <br /> — Kitchen sink&disposal Gas fireplace <br /> — Dishwasher — Cas range <br /> _ Clothes washer — Clothes dryer ••- <br /> — Water heater Range hood <br /> _ Sink(service/bar/mop/etc.) Exhaust fan <br /> Backflow preventer _ Heat pump <br /> Urinal _ Unit heater <br /> —_ _Drinking Fountain Boiler <br /> — Floor drain — Refrigeration <br /> _ Grease trap Woodstove <br /> _ Roof drains 5 Other (2)Chillers <br /> Other (2)pumps <br /> (1)Coil Bank - <br /> I CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify that I have read and examined this application and k,iow the same to be true and correct. All provisions of laws and <br /> ordinances governing this type of work will be complied with whether specified herein or not.The granting of a permit does not presume <br /> to give authority to violate or cancel the provision of any other state cr local law regulating construction or the performance of <br /> construction.That I am authorized by the owner of this property to perform the work for which application is made and I comply..i th the <br /> State Contralctors Law 18.27,RCW and 296.200 WAC. <br /> • l-- ?-7/ 3/2 y,/Zory <br /> Signature of Owner/Conti ctor/Agtliorized Agent Date .-(// I/ <br />