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7711 192nd Pl Ne_BLD256_2025
BUILDING INSPECTION REPORT – MECHANICAL Permit No. 256 Address: 7711 192nd Pl Contractor: Evergreen State Owner: Koepp Date: 12/30/2013 ☒ APPROVAL ☠PARTIAL APPROVAL ☠CORRECTION ☠OTHER APPLIANCE: Heat Pump Installation and Ductwork GAS PIPING: ☠DRIP LEG: ☠DISCONNECT: ☒ SEISMIC: ☒ 3†PAD: ☒ VENTING: ☠ECONOMIZER: ☠COMBUSTION AIR: ☠MAKE-UP AIR: ☠ACCESS: ☠DRAIN: ☒ DUCTS: TESTED INSULATION MATERIAL: ☒ L&I: Yes SHUT-OFF VALVE: ☠GUARDS: ☠Date: 12/30/2013 INSPECTOR: YOUNG Permit #: 256 Permit Date: 12/04/13 Permit Type: RESIDENTIAL MECHANICAL Project Name: Matthew Koepp Applicant Name: Evergreen State Heat & AC Applicant Address: 2120 Pacific Ave Applicant, City, State, Zip: Everett, WA 98201 Contact: Ken Salo Phone: 425-252-3114 Email: ken@essmwa.com Scope of Work: Install Heat Pump and Duct Work Valuation: 15950.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 12/10/2013 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Property Parcel # Address Legal Description Owner Name Owner Phone Zoning KOEPP MATTHEW 111 Single Family 31051400404000 7711 192ND PL NE J Residence - Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License # EVERGREEN STATE CONSTRUCTION Mark Payne 425-252-3114 2120 Pacific Ave COA 601-724-357 HEAT & A/C CONTRACTOR EVERGREEN STATE CONSTRUCTION Labor & Mark Payne 425-252-3114 2120 Pacific Ave EVERGSS022OT HEAT & A/C CONTRACTOR Industries Plan Reviews Date Review Type Description Assigned To Review Status RESIDENTIAL 12/04/2013 Ok to issue z.Christopher Young MECHANICAL Fees Fee Description Notes Amount Mechanical Fee (Enter Fixture Fee) $25.00 Mechanical Base Permit Fee $25.00 Total $50.00 Attached Letters Date Letter Description 12/06/2013 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 12/10/2013 Evergreen State Heat & AC Mechanical Permit Check #13530 $50.00 Outstanding Balance $0.00 Uploaded Files Date File Name 12/30/2013 7711 192ND pL.docx 12/04/2013 BLD 256 Application.pdf