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grr PERMIT APPLICATION <br /> BUILDING / MECHANICAL/ PLUMBING I SIGN / SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I 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 AVE, EVERETT,WA 98201 PROPERTY TAX#: 591139(PARCEL 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): UMPQUA BANK <br /> OWNER MAILING ADDRESS: STREET 707 WEST MAIN AVE, SUITE 450 <br /> cry SPOKANE STATE WA ZIP 99201 <br /> OWNER PHONE: 509.842.9062 OWNER EMAIL: RYANKEOGH@UMPQUABANK.COM <br /> CONTRACTOR NAME: COMMERCIAL CONSTRUCTION & MAINTENANCE CO, INC <br /> CONTRACTOR ADDRESS: STREET 1509 BONNEVILLE AVE, SUITE A <br /> cin SNOHOMISH STATE WA ZIP 98290 - <br /> CONTRACTOR PHONE: 360.863.6705 1,CONIRACTOR EMAIL: STAPERT@CPMNW.COM <br /> a0�19883356(UB O - e ti27989 <br /> CONTRACTOR LICENSE#(REQUIRED): (UBI) CITY OF EVERETT BUSINESS LICENSE#(REQ <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR OTHER(Please Specify) ARCHITECT(TVA ARCHITEC S) <br /> CONTACT NAME: CONTACT PHONE: 503.517.8156 <br /> ERIN BROUILLETTE CONTACT EMAIL: ERINB@TVAARCHITECTS.COM <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: BUSINESS(TENANT AREA) Contract Price of Work:$ 240,000 <br /> Proposed Use of Building: BUSINESS (TENANT AREA) Heat Source: Vi Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: (,A Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair T.I.O ❑Sign ❑Sprinkler ❑Demolition El Change of Use <br /> DESCRIPTION OF WORK: <br /> INTERIOR TENANT IMPROVEMENT AT THE GROUND FLOOR OF AN EXISTING BUILDING AND SUITE.TO INCLUDE FINISHES,FURNITURE,ACT <br /> CEILING,CASEWORK,AND BREAK ROOM REMODEL. - _ - -A • e a -_;; <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New _ Addn _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 /> 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&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 J 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/comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PER5# erp(-_{\„ r <br /> /Owner/Authorfie gent Signature Date (Revise-Q3/,016) <br />