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PERMIT APPLICATIO <br /> BUILDING -CHANICAL/ PLUMBING /SIGN INKLER/ DEMOLITION <br /> °1°,---A. <br /> '���/'� CITY OF EVERETT PERMIT SERVIC <br /> ' 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 E everette s everettwa. ov www.everettwa. ov/ ermits <br /> I( ) P@ 9 1 9 P <br /> (Blue or Black Ink-Only.Please)`; , PROJECT SITE INFORMATION " <br /> PROJECT SITE ADDRESS:1616 E Marine View Drive PROPERTY TAX#:00556332402400 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Riverview Manager LLC TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET 10900 NE 8th St,Suite 1200 <br /> clr( Bellevue STATE WA ZIP 98004 <br /> OWNER PHONE: (425)467-1871 OWNER EMAIL:dalton.arndt@heartlandwa.com <br /> CONTRACTOR NAME:Ascendent LLC <br /> CONTRACTOR ADDRESS: STREET 106 Frontage Road North <br /> CITY Pacific STATE WA ZIP 98047 <br /> CONTRACTOR PHONE:(253)737-6355 CONTRACTOR EMAIL:Mestes@ascdemo.com <br /> CONTRACTOR LICENSE#(REQUIRED):ASCENL*996N9 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 46814 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:(253)737-6355 <br /> Mike Estes CONTACT EMAIL:Mestes@ascdemo.com <br /> BUILDING`INFORMATION <br /> Existing Use of Building:Commercial Building Contract Price of Work:$26,598.00(For this building only) <br /> Proposed Use of Building:Total Demolition-Flat site for development Heat Source: ❑Gas DElectric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial EAccessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑✓Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Demolish existing building & accessory structures complete including slabs and foundations. <br /> Building has non-friable asbestos roofing which will be removed during demolition. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION = . PLUMBINGG'PERMIT APPLICATION <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures <br /> NC—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> _ Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,_laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilation Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof Drains Water Heater <br /> SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System 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 thy-State Contractors Law 18.27 RCW and 296.200A WAC. <br /> A/ City of Everett Official Use Only <br /> PERMIt <br /> / - 12.1 D«0� -00(1 <br /> / <br /> Owner/Authorized Agent Si•nature Date (Revised 10/10/2018) j <br />