2722 COLBY AVE UMPQUA BANK 2019-08-07

gn. PERMIT APPLICATION■ BUILDING / MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:2722 Colby Avenue Everett, WA. 98201 PROPERTY TAX#:591139 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: John Fugii (N.M.V. Everett LLC) TENANT BUSINESS NAME(Commercial): Umpqua Bank G' OWNER MAILING ADDRESS: STREET5803 Texas Drive c ry Vancouver STATE WA ZIP 98661 OWNER PHONE: 360-695-3703 OWNER EMAIL:JSFUGII@comcast.net CONTRACTOR NAME:ACCO Engineered Systems, Inc. CONTRACTOR ADDRESS: STREET5300 Denver ave. S. Cin, Seattle STATE WA DP 98108 CONTRACTOR PHONE:206-787-8500 CONTRACTOR EMAIL:ddallum@accoservice.com ��' -",;440,11CONTRACTOR LICENSE#(REQUIRED):ACCOESI971 DU CITY OF EVERETT BUSINESS LICENSE#(REQ -ED): -- c.)'4�r PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-992-9579 Danny J. Dallum CONTACT EMAIL:ddallum@accoservice.com BUILDING INFORMATION Existing Use of Building:Office Contract Price of Work:$39,000.00 Proposed Use of Building:Office Heat Source: OGas ❑Electric ElOther Water Source Heat Pumps BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair OT.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Replace 3 existing water source heat pumps& 1 ductless split system"Like for Like" s9CA —ooi—I 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 A/C-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 4 Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilatior 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 •. :dors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERM # , 02/25/2019 O7 5 Owner/Authorized Agent Signature Date (Revised 10/1/2018) ( 1