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— �J ''II� PERMIT APPLICATI./4 �1 <br /> BUILDING+NIECHANICAL/ PLUMBING /SIGN SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES Related ermit B 1801-043 <br /> y 3200 CEDAR STREET, EVERETT,WA 98201 p <br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 3000 Rockefeller Ave aNci Pl PROPERTY TAX#: <br /> I <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Williams Mechanical <br /> CONTRACTOR ADDRESS: STREET 3903 Smith Ave <br /> CITy Everett STATE WA Z,P 98201 <br /> CONTRACTOR PHONE: 425-754-8759 CONTRACTOR EMAIL: bill@williams-rneChanical.co <br /> williams-mechanical.CO <br /> CONTRACTOR LICENSE#(REAL WILLIMl088PA CITY OF EVERETT BUSINESS LICENSE#(REQUI D): o(o <br /> PRIMARY CONTACT: ❑OWNER CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: Bill Alsept CONTACT PHONE: 425-754-8759 <br /> CONTACT EMAIL: bill@williams-mechanical.com <br /> williams-mechanical.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: County office records Contract Price of Work:$ $14,000 <br /> Proposed Use of Building: Same Heat Source: OGas X Electric CI Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> Type of Project: ONew ❑Addition ❑Remodel CI Repair ❑T.I. OSign ❑Sprinkler CI Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Demo and replace existing Two Ton split heat pump with ducted system. Also <br /> relocate misc. branch lines and diffusers to match new floor plan. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): IB 1801-043 I <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New _ Addn Alteration _Repair Type of Project: New Addn Alteration _Repair <br /> #of List of Fixtures #of List of Fixtures #°f List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—Air Handling Units Q Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove , Kitchen Sink&Disposal Grease Trap <br /> Gas Range I I 1 Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> P,an rum I-Inn,i Water Heater Other: <br /> Sink(Service/Bar/Mop/etc.) Other: <br /> I <br /> SPRINKLER t SUPPRESSION SYSTEM <br /> Chemical or Water ' INo.of Heads <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 am,circumstance.lam the owner,or lam authorized by the owner of this property to perrnrm the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PER <br /> ,�yWilliam Alsept 2-5-18 v2 —W I1L <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />