906 SE EVERETT MALL WAY COLUMBIA DEBT RECOVERY 2022-06-28

PERMIT APPLICATION• /1111111,‘ BUILDING/ ECHANICAL/ PLUMBING/SIGN/SPRINKLER/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 PROPERTY TAX#:28051800308500 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Colliers/Rems TENANT BUSINESS NAME(Commercial): Columbia Debt Recov OWNER MAILING ADDRESS: sTREET6500 Harbour Heights Parkway CITY Mukilteo STATE wa zip 98275 OWNER PHONE:425-315-0807 OWNER EMAIL: CONTRACTOR NAME:Moss Bay Plumbing Ltd CONTRACTOR ADDRESS: STREET8151 164 ave ne#106-351 CITY Redmond STATE wa zip 98052 CONTRACTOR PHONE:425.868.8446 CONTRACTOR EMAIL:mOSSbaypb@yahoo.com CONTRACTOR LICENSE#(REQUIRED):MOSSBPL00000 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: CI OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425.868.8446 Brian Knapik CONTACT EMAIL:mossbaypb@yahoo.com BUILDING INFORMATION Existing Use of Building:OffiCe Contract Price of Work:$20000 Proposed Use of Building: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 DTA. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Rough in and install breakroom sink dishwasher drinking fountain with bottle filler ASSOCIATED BUILDING PERMIT#(if applicable): ' 1 g D 1 Co 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 1 Dishwasher 1 Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration 1 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.lam the owner,or 1 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. RCW and 296.200A WAC. City of Everett Official Use Only PERMIT j U , A 5 7-01^ I/ k 4-4-19 Own thorized Agent Sign ture Date (Revised 10/10/2018)