9930 EVERGREEN WAY TWO MEN AND A TRUCK 2020-02-07

4rEn" PERMIT APPLICATIc BUILDIMMECHANICAL/ PLUMBING /SIGH—PRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I F 5-2 8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue Qr Black Ink Only,Please)= OJECT ITE INFORMATION 4,x 7 ; PROJECT SITE ADDRESS:9930 EVERGREEN WA ,SUITE 105 VERETT WA 98204 PROPERTY TAX#:28041300306300 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: ELIZABETH GESSEL TENANT BUSINESS NAME(Commercial): TWO MEN & A TRUCK OWNER MAILING ADDRESS: STREET711 SIXTH AVE N SUITE 200 city SEATTLE STATE WA zip 98109 OWNER PHONE: 206-622-8600 OWNER EMAIL:EGESSEL@PHILLIPSRE.COM CONTRACTOR NAME:TBD CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR D OTHER(Please Specify) FREIHEIT ARCHITECTURE CONTACT NAME: CONTACT PHONE:(425)827-2100 CHELSEA MERKEL CONTACT EMAIL:CMERKEL@FREIHEITARCH.COM '. BUILDING INFORMATION Existing Use of Building:B(OFFICE) Contract Price . or .$32,000 Proposed Use of Building:B(OFFICE) Heat Source: IS Gas ❑Elec ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair OT.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: TENANT IMPROVEMENT TO INCLUDE: DEMOLITION OF NON-STRUCTURAL PARTITIONS AND DOORS AND CONSTRUCTION OF NEW NON-STRUCTURAL PARTITION WALLS, DOORS, AND FINISHES. 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: NC—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 Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilatior 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 WAC. �/J{ge /,, City of Everett Official Use Only i( ` /1 (t/�l/ PERM I 9 0� 0.1(A wner/Aut orized gent'Signature Date (Revised 10/10/2018) (/2