906 SE EVERETT MALL WAY POLYWORKS 2019-09-05

OLT PERMIT APPLICATION BUILDING ECHANICAL / PLUMBING / SIGN RINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:906 SE Everett Mall Way, Suite 120 PROPERTY TAX#:28051800308500 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Pflueger Everett Holdings, LLC TENANT BUSINESS NAME(Commercial): Polyworks OWNER MAILING ADDRESS: STREET c/o Colliers International,John Bausch, RPA,6500 Harbour Heights Pkwy, Suite 107 coy Mukilteo STATE WA ziP 98275 OWNER PHONE: (425)315-1354 OWNER EMAIL:)ohn.baush@colliers.com CONTRACTOR NAME:Uniplex CONTRACTOR ADDRESS: STREET 14737 NE 87th Street CITY Redmond STATE WA ZIP 98052 CONTRACTOR PHONE:206-290-4478 CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQED):Uki,i PLci,,,8 p f N CITY OF EVERETT BUSINESS LICENSE#(REQUIRE C1 PRIMARY CONTACT: !DOWNER ❑ CONTRACTOR D OTHER(Please Specify) ARCHITECT/Interior designer CONTACT NAME: CONTACT PHONE:(425)582-5505 KAte Wittenbrook - Horne CONTACT EMAIL:katew@waremalcomb.com BUILDING INFORMATION Existing Use of Building:B-Office Contract Price of Work: $58,015 00 Proposed Use of Building:B-Office Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.l. ❑Sign LI Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: The scope of this project includes demolition of interior partitons/doors/relites/eteetricai--&--- New construction to include interior partitions/doors/eleetfieal &'finis-hes:- ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat PGmp&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilation Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER/ SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System No.of Heads 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 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 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, and I comply with the State Contractors Law 18.27 RCW and 296.200A WA C. /141 61 /9. S City of Everett Official Use Only n /j PERM .._ rm Ot Owner/Authorized Agent Signature Date (Revised 10/10/2018) r� O�s 3 S t- .- /�)