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1 i <br />EVERETT <br />WASHINGTON <br />ME(' ANICAL PERMIT APPLIC .ON <br />CITY OF EVERETT PERMIT SERVICES <br />SUBMITTAL INSTRUCTIONS: Drop off hard copy paper application & plan to 3200 Cedar Street 2nd Floor Intake Drop Box. <br />CONTACT INFORMATION: (P) 425-257-8810 1 (E) PermitServices@everettwa.gov I (W) everettwa.gov/permits <br />Blue or Black Ink OnlY Please) <br />) _ O�, PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: STREET,28TtWetmore Ave PARCEL #: 00439166600 <br />CITY Everett STATE WA ZIP 98201 <br />SUITE/UNIT #: FLOOR #-. 1, Garage 2 ADDITIONAL LOCATION INFORMATION: <br />TENANT/BUSINESS NAME (if non-residential): Funko Oz Bldg <br />CONTACT INFORMATION. , <br />OWNER NAME: Funko Oz Bldg - <br />OWNER MAILING ADDRESS: STREET 2811 Wetmore Ave <br />any Everett STATE WA ZIp 98201 <br />OWNER PHONE: <br />OWNER EMAIL: <br />CONTRACTOR COMPANY NAME: MacDonald Miller Facility Solutions <br />WA STATE CONTRACTOR LICENSE #(REQUIRED): MACDOFS8080S <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 040665 <br />CONTRACTOR ADDRESS: STREET PO Box 47983 <br />crry Seattle STATE WA ZIP 98146 <br />CONTRACTOR PHONE: 206-768-4062 <br />CONTRACTOR.EMAIL: permits@macmiller.com <br />PRIMARY CONTACT: ❑ OWNER ❑✓ CONTRACTOR ✓❑ OTHER (Please Specify) <br />CONTACT NAME: <br />A m m o n e B e m b ry <br />CONTACT PHONE:206-768-4062 <br />CONTACT EMAIL: permits@macmiller.com <br />MECHANICAL PERMIT INFORMATION <br />VALUATION OF WORK: $ 55776 <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 />ST F <br />DEMO AND REMOVE (1) EXISTING 5.0-TON SPLIT SYSTEM. INSTALL (1) NEW 5.04ON SPLIT SYSTEM. NEW OUTDOOR CONDENSING UNIT TO 6E LOCATED IN THE SAME LOCATION AS THE PREVIOUS UNIT. INSTALL (1) NEW INLINE EXHAUal <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 />1 <br />Air Handling Unit ** <br />Gas Appliance ** <br />Boiler (most require backflow prevention) 1k1k <br />Gas Fireplace, Insert, and/or Log (* for commercial bldgs) <br />Commercial Refrigeration (Walk-in coolers, VRF, VRV, etc.) <br />Gas - Other (List Type): 1k1k <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) 1k1k <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 />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 Type1k1k1k <br />3 <br />Other (List Type):(21D0(usere.(1)Exhaust FW*IhDuct <br />Exhaust Hood Type II 1k1k1k <br />1 <br />Other (List Type): (1) Exhaust Hood 13D Pdnter) <br />Furnace (residential) <br />3 <br />Other(Llst Type):(II ERV.(II Lo—,(11 Exterior Ground Mounted Condensing Unit <br />1k For commercial gas fireplaces, please attach plans and manufacturers installation manual. <br />1k* Under Description of Work, please include Type of Equipment, model Ps, 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 />City of Everett Official Use Only <br />PERMIT # <br />M2301--033 <br />(Revised 412112022) <br />