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PERMIT APPLICATIO <br /> BUILDINOMECHANICAL / PLUMBING / SIG*PRINKLER / DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> OL 3200 CEDAR STREET, EVERETT.WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 J (E)everetteps@everettwa.gov I www.everettwa.gov'permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 2722 Colby Ave PROPERTY TAX#: 00439162401700 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: NMV EVERETT LLC TENANT NAME(If Commercial): Bank of Everett <br /> OWNER MAILING ADDRESS: STREET 5803 TEXAS DR, � L ii -Cy <br /> cin VANCOUVER, STATE WA ziP 98661 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: ACCO Engineered Systems <br /> CONTRACTOR ADDRESS: STREE, 1331 120th Ave NE <br /> C,,T, Bellevue, STATE WA ziR 98005 <br /> CONTRACTOR PHONE: (425) 679-5941 CONTRACTOR EMAIL: ttoutonghi@accoes . com <br /> CONTRACTOR LICENSE#(REQUIRED): ACCOESi971DU CITY OF EVERETT BUSINESS LICENSE#(RE,DUIRED):O3 $$ <br /> PRIMARY CONTACT: ❑ OWNER 13 CONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME: Tyler Toutonghi CONTACTPHONE: (425) 679-5941 <br /> CONTACTEMAIL: ttoutonghi@accoes .cam <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Contract Price of Work: $ 6 pQO. oo_ <br /> Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition El Remodel ❑Repair ®T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Rework ductwork to accommodate new floorplan. Add/relocate diffusers, <br /> mechanical scope only. Relocate (1) existing fan indoor air handler. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New Addn x Alteration _Repair Type of Project: New _Addn _Alteration _Repair <br /> #of #of #of #of <br /> List of Fixtures List of Fixtures List of Fixtures List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> 1 A/C-Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&DisposalGrease Trap <br /> Gas Range x Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan I Sink (Service/Bar/Mop/etc.) Other: <br /> SPRINKLER / SUPPRESSION SYSTEM <br /> Number of Heads <br /> ACKNOWLEDGEMENT:1 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. 1 am the owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PER T# <br /> 06/10/2016 <br /> Owne tho" ed Agent)Signature Date (Revised 5/20/2016) <br />