2722 COLBY AVE UMPQUA BANK 2019-08-07

PERMIT APPLICATION ix BUILDING / MECHANICAL / PLUMBING / SIGN /SPRINKLER / DEMOLITION E V E R E T TCITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I 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:2722 Colby Ave. E. PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: N.M.V. Everett LLC TENANT BUSINESS NAME(Commercial): UMPQUAH Bank OWNER MAILING ADDRESS: sTREET5803 Texas Drive CITY Vancouver STATE WA ZIP 98661 OWNER PHONE: 360-695-3703 OWNER EMAIL: CONTRACTOR NAME:ACO Engineered systems, Inc. :«Df —COLA CONTRACTOR ADDRESS: STREET5300 Denver Ave. S. CITY Seattle STATE WA ZIP 98108 CONTRACTOR PHONE:2O6-787-8500 CONTRACTOR EmAiLddallum@accoservice.com CONTRACTOR LICENSE#(REQUIRED):ACCOESI971 DU CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 37887 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR D OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-992_9579 Danny J. Dallum CONTACT EMAIL:ddallum@accseeTrvl cis m BUILDING INFORMATION Existing Use of Building:Office Contract Price of Work: $5,640.00 ' Proposed Use of Building:Office Heat Source: ❑Gas ElElectric ❑Other BUILDING USE: ❑SFR Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑✓Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: New GRD's and modify ductwork to accomodate new water source heat pumps 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 Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility, laundry,mop Exhaust Fans(Residential) Commercial Ventilation 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 12 Other: GRD's 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 aut 'ed 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 C tracto s Law 18.27 RCW and 296.200A WAC. 1 City�orff�Everett Officialffci�Use Only PERM ® tl J� —\J ----S-----,\.\ 04/23/2019 Owner/Authorized Agent Signature Date (Revised 10/10/2018)