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0 PERMIT APPLICATION* <br />BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />447T 3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br />Blue or Black Ink Only Please PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: 2828 Colby Ave., Suite 403 <br />PROPERTY TAx #: 00439166801400BId <br />LEGAL for new construction: Short Plat/subdivision BLK 668 Lot No. 14-18 (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: TEC 84, LLC TENANT BUSINESS NAME (Commercial): Edward Jones <br />OWNER MAILING ADDRESS: STREET 1604 Hewit Ave, Suite 200 <br />c,Ty Everett STATE WA zip 98201 <br />OWNER PHONE: 425 252 5400 <br />OWNER EMAIL: dave.graef@skotdal.com <br />CONTRACTOR NAME: Linn -Douglas Construction, LLC <br />CONTRACTOR ADDRESS: STREET PO Box 8019 <br />CITY Covington STATE WA ZIP 98042 <br />CONTRACTOR PHONE: 206 349 4230 <br />CONTRACTOR EMAIL: <br />CONTRACTOR LICENSE #(REQUIRED): LINNDCLOOOPC exp10.4.2021 <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 039455 <br />PRIMARY CONTACT: ❑ OWNER El CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />Kirk Figenshow <br />CONTACT PHONE: 206 349 4230 <br />CONTACT EMAIL: kirk@linn-douglas.com <br />BUILDING INFORMATION <br />Existing Use of Building: B-Office <br />Contract Price of Work: $ 25 529.00 <br />Proposed Use of Building: B-Office <br />Heat Source: ❑Gas ❑Electric []Other <br />BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family -# Units: (]Commercial ❑Accessory Structure <br />Type of Project: ❑New ❑Addition ❑� Remodel ❑Repair ❑T.I. []Sign ❑Sprinkler ❑Demolition ❑Chan a of Use <br />DESCRIPTION OF WORK: Non structural work in a demised existiing tenant space. We are adding 56 LF interior partitions floor <br />to bottom of existing acoustical ceiling, install each ADA compliant doors, paint and carpet. HVAC and electrical work and <br />permits are by others. No change to existing accoustical ceiling or in place lighting. <br />ASSOCIATED BUILDING PERMIT # if applicable): <br />MECHANICAL <br />PERMIT <br />APPLICATION <br />PLUMBING PERMIT <br />APPLICATION <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />A/C —Air Handling Units <br />Gas Piping <br />Backflow Preventer (inside Bldg) <br />Shower, Tub, or Combo <br />Boiler <br />Gas Range <br />Clothes Washer <br />Sink -Commercial (3-comp,prep,floor) <br />Clothes Dryer <br />Heat Pump&Ductless <br />Dishwasher <br />Sink -Residential (kitchen, bath, bar) <br />Duct System (Remodel) <br />Refrigeration <br />Drinking Fountain <br />Sink -Utility, laundry, mop <br />Exhaust Fans (Residential) <br />Commercial Ventilatio <br />(Not HeatlAC system) <br />Floor Drain <br />Toilet <br />Exhaust Hood (Type 1) <br />Hose Bibb <br />Urinal <br />Exhaust Hood (Type 11) <br />Water Heater <br />Interceptor -Grease <br />Waste/Water Piping Repair <br />Exhaust Hood (Residential) <br />Wood Stove <br />Interceptor-Sand/Oil <br />Water Service (behind meter) <br />Forced Air Systems <br />Other: <br />Medical Gas <br />Water Valves or Fixtures <br />Gas Fireplace/Insert/Log <br />Roof Drains <br />Water Heater <br />SPRINKLER I SUPPRESSION <br />SYSTEM <br />Sewage Ejector or Sump Pump <br />Other: <br />Water Suppression System <br />No. of Heads <br />Chemical Suppression System <br />No. of Heads <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 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAG <br />Kirk D. Fi enshow, Member 04wlywg a b'MU" P'°°"'"°". <br />9 oem:=.11.16 isocae OM <br />Owner/Authorized Agent Signature Date <br />City of Everett <br />gO�f Official Use Only <br />PERMIT <br />(Revised 10/10/2018) L <br />