906 SE EVERETT MALL WAY LOCHNER 2017-10-18

PERMIT APPLICATION BUILDING WCHANICAL / PLUMBING / SIGN /0RINKLER / 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 (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 906 Everett Mall Way PROPERTY TAX#: 28051 800308500 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: CIO Colliers (John Bausch) TENANT NAME(If Commercial): Lochner OWNER MAILING ADDRESS: STREET 601 Union Street Suite 5300 CITY Seattle STATE WA ZIP OWNER PHONE: 425.31 5.1354 OWNER EMAIL: john.bausch@colliers.com CONTRACTOR NAME: T13-D- NA b LLOrgllJ/111y� CONTRACTOR ADDRESS: STREET �7. Cj b► ' CITY STATE ZIP Iq CONTRACTOR PHONE: IL� �n - CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): ` CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 000 PRIMARY CONTACT: ❑OWNER ❑ CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-582-5507 April Tassani CONTACT EMAIL: ataSSani@Waremalcomb.COm BUILDING PERMIT APPLICATION Existing Use of Building: B Office Contract Price of Work: s 34,000 Proposed Use of Building: B Office 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 .I. ❑Sign []Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Tenant improvement to include minor interior partitions, new walls, retrofitting existing doors and new casework. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type o r-;--t: Under Separate Permit —Rep r Type of Project Under Separate Permit 'n _Repair #of „ List of Fixtures Li of Fixtures #of t of Fixtures List of 'rtures Fixtures Fixtures Fixtures Fixtures A/C-A andling Unitseat Pump Toilet Backflow eventer(Inside Bldg) Forced Air Slystems Unit Heater Bathtub Urin Gas Piping Boiler Lavatory(Wash Basin) rinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher RQ.0f Drains Clothes D Hookups Other: Clothes Washer MediGas Range,146od Water Heate Other: Exhaf ist Fan Sink(S Ice/Bar/Mop/etc.) Other: SPRINKLER/ SUPPRESSION SYSTE 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.1 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. City of Everett Official Use Only � PERMIT# 7-22-16 fb I&,2a-7' 0 Owner/Authorized Agent Signature Date (Revised 5/20/2016)