906 SE EVERETT MALL WAY FRONTIER COMMUNICATIONS 2021-11-02

• PERMIT APPLICATION/ BUILDING/MECHANICAL/PLUMBING/SIGN /SPRINKLER/DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only!nine) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:90 Ev rett Mall Way,Suite 500 PROPERTY TAX#:1828 053 054 00 02 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Frontier Communications TENANT BUSINESS NAME(Commercial): Frontier Communications OWNER MAILING ADDRESS: STREET 1800 41 st Street, Suite N-100 c,r' Everett STATE WA ZIP 98203 OWNER PHONE: 425 261-6115 OWNER EMAIL:dean.christianson@ftr.com CONTRACTOR NAME:to be determined CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR I OTHER(Please Specify) Kord S Kurisu Architect CONTACT NAME: CONTACT PHONE:425 870-0368 Kord Kurisu CONTACT EMAIL:kskurisu@msn.com BUILDING INFORMATION Existing Use of Building:Office Building Contract Price of Work:$60,000 Proposed Use of Building:same Heat Source: DGas ❑Electric DOther BUILDING USE: ❑SFR ❑Townhouse ❑Duplex DADU ❑Multi-Family-#Units: ©Commercial ❑Accessory Structure Type of Project: :New DAddition ❑Remodel DRepair ©T.l. ❑Sign OSprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Project consists of a tenant improvement alteration of an existing 5th floor office for use as an office. No change of use, no change in size of building or increase in Occupant Load is anticipated. There is no exterior work included. Interior alterations includes minor interior demolition, new mtl.stud framed wall partitions and existing door relocations. 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 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 I No.of Heads ,.CKitOWLEDGEMENT::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/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 PERM 2 02-5 0ae.7Fe2 Owner/Authorized Agent Signature Date (Revised 10/10/2018)