2707 COLBY AVE MOSS ADAMS 2017-08-10

• PERMIT APPLICATION • BUILDING / MECHANICAL/ PLUMBING / SIGN / SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES OL 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 2707 COLBY AVE . PROPERTY TAX#: 00439162500100 LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: SKOTDAL MUTUAL LLC TENANT NAME(If Commercial): MOSS ADAMS LLP OWNER MAILING ADDRESS: STREET PO BOX 5267 CITY EVERETT STATE WA zIP 9 8 2 0 6 OWNER PHONE: (4 2 5) 2 5 2-54 0 0OWNER EMAIL: DAVE.GRAEF@SKOTDAL.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: ❑OWNER ❑CONTRACTOR MOTHER(Please Specify) TENANT ARCHITECT CONTACT NAME:NBBJ CONTACT PHONE: (2 0 6) 621-2404 JONATHAN BAHE, AIA CONTACT EMAIL: JBAHE@NBBJ.COM BUILDING PERMIT APPLICATION Existing Use of Building: BUSINESS Contract Price of Work: $ 1, 3 2 5 , 5 0 7 . 3 5 Proposed Use of Building: BUSINESS Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ®Commercial ❑Industrial Type of Project: ❑New ❑Addition ®Remodel ❑Repair ❑T.l. ❑Sin ❑Sprinkler ❑Demolition ❑Chan e of Use DESCRIPTION OF WORK: THIS PROJECT INVOLVES AN OFFICE TENANT IMPROVEMENT INCLUDING THE DEMOLITION OF EXISTING PARTITIONS AND FINISHES, AND THE BUILD-OUT OF NEW OPEN OFFICE SPACES . ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/ SUPPRESSION SYSTEM Number 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.l am the owner,or I am authorized by the owner of this property to perform the work for which application is made, and l comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# 1 V 0�Z ,7 er/Authori d Agent Signature Date (Revised 10/12/2015) /> +L