1000 SE EVERETT MALL WAY TERRA STAFFING 2019-09-05

477- PERMIT APPLICATIC BUILDIN MECHANICAL / PLUMBING / SIGN i SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov 1 www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 1000 SE Everett Mall Way, Suite 301 PROPERTY TAX#: 28051800305401 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Pflueger-Everett Holdings LLC TENANT NAME(If Commercial): Terra Staffing Group OWNER MAILING ADDRESS: STREET Attn:John Bausch c/o Colliers International REMS, 601 Union St, Suite 5300 ciT' Seattle STATE WA zip 98101 OWNER PHONE: 425-315-1354 OWNER EMAIL: john.bausch@colliers.com CONTRACTOR NAME Davis Schueller Inc. (Ken Schueller) CONTRACTOR ADDRESS: STREET 4601 Chennault Beach Rd Suite 200 CITY Mukilteo STATE WA ZIP 98275 CONTRACTOR PHONE: 425-775-9400 CONTRACTOR EMAIL: kschueller@davisschueller.com CONTRACTOR LICENSE#(REQUIRED): DAVISSI105PN CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): #026267 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-355-7223 Greg Lambert CONTACT EMAIL: greg@terrastaffinggroup.com BUILDING PERMIT APPLICATION Existing Use of Building:Office Contract Price of Work: $ $100,000.00 Proposed Use of Building: Office Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: 1;4 Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair iaT.l. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: TI EXPANSION INTO ADJACENT SPACE,MINOR INTERIOR DEMOLITION,PARTITIONS TO EXISITING CEILING GRID,R€LOCATi NSOFtIONTS,NEW DOORS AND FINISHES ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: New _ Addn Alteration Repair Type of Project: New Addn Alteration Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes WasherMedical Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.)-, Other: SPRINKLER/ SUPPRESSION SYSTEM Chemical or Water 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 WAC. City of Everett Official Use Only T _ PE T# )( : rte 4 VIA,L1 � �� , 4C) 1 Owner/Authorized Agent Sign t re Date (Revised 9/23/2016) 1�)-