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

416-17 PERMIT APPLICATION BUILDINGIDIECHANICAL / PLUMBING / SIGN•RINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (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, Suite 300 PROPERTY TAX#:28051800308500 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Pflueger Everett Holdings, LLC TENANT BUSINESS NAME(Commercial): Columbia Debt Recovery OWNER MAILING ADDRESS: sTREETc/o Colliers International,John Bausch, RPA,6500 Harbour Heights Pkwy, Suite 107 in Mukilteo STATE WA ZIP 98275 OWNER PHONE: (425)315-1354 OWNER EMAIL:john.baush@colliers.com CONTRACTOR NAME: TBD CONTRACTOR ADDRESS: sTRE I C STATE WA ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR ❑' OTHER(Please Specify) ARCHITECT/Interior designer CONTACT NAME: CONTACT PHONE:(425)582-5505 Kate Wittenbrook - Horne CONTACT EMAIL:katew@waremalcomb.com BUILDING INFORMATION Existing Use of Building:B-Office Contract Price of Work: $?S rstinir- c `7 b,(,C'L-, i+_J K- Proposed Use of Building:B-Office Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ✓1Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: The scope of this project includes demolition of interior partitions/doors/relites New construction to include interior partitions/doors/relites . 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 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.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. /'//,! /� �.yrl7c City of Everett Official Use/ Only lkX "mil/\Il 7%1 4R'I/.�Il� QJ 02.27.2019 PER 1'# �O 2 D�, `I/ Owner Authorized Agent Signature Date (Revised 10/10/2018) L/ VIZ