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Oren- PERMIT APPLICATIqM <br /> BUILDIN MECHANICAL/ PLUMBING /SIGIW PRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1(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 AVENUE 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): RAINIER TITLE <br /> OWNER MAILING ADDRESS: STREET 5803 TEXAS DR <br /> cin VANCOUVER STATE WA ZIP 98661 <br /> OWNER PHONE: N/A OWNER EMAIL: N/A <br /> CONTRACTOR NAME: ACCO ENGINEERED SYSTEMS <br /> CONTRACTOR ADDRESS: STREET 5300 DENVER AVE SOUTH <br /> CITY SEATTLE STATE WA ZIP 98108 <br /> CONTRACTOR PHONE: 2067878600 CONTRACTOR EMAIL: MMCKAIG@ACCOES.COM <br /> CONTRACTOR LICENSE#(REQUIRED): ACCOESi971 DU CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 037887 <br /> PRIMARY CONTACT: ❑OWNER 47 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 2067878520 <br /> MATTHEW MCKAIG CONTACT EMAIL: MMCKAIG@ACCOES.COM <br /> BUILDING PERMIT APPLICAT-IONx. <br /> Existing Use of Building:COMMERCIAL Contract Price of Work:$ 20000 <br /> Proposed Use of Building: COMMERCIAL Heat Source: OGas DElectric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ODuplex ❑Multi-Family-#of Units: Commercial ID Industrial <br /> Type of Project: ONew DAddition ❑Remodel ❑Repair T.I.OOSign OSprinkler El Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> MODIFY EXISITING DUCTWORK, GRILLES, AND DIFFUSERS TO ACCOMIDATE NEW TENANT LAYOUT. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New _ Addn I Alteration _Repair Type of Project: _New _Addn _Alteration _Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> NC—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&Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER!SUPPRESSION SYSTEM <br /> Chemical or Water I No.of Heads <br /> 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 <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.I 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 /> PERMIT; <br /> O �� 6/22/ 1$ �.�r (0,--) <br /> Owner/Authorized Agent Sign Date (Revised 9/23/2016) <br />