Laserfiche WebLink
DEMOLITION PERMIT APPLICATION <br />CRY OF EVERETT PERMIT SERVICES <br />EVERETT SUBMITTAL INSTRUCTIONS: Drop of hard ropy paper application 8 plan tor 32M Ce r Streal Zen Floor Intake Drop Box <br />Vol I any" CONTACT INFORMATION: (P) 425-257-BR1n 1(E) Pe mXSeMces@evemfta.g v I (W) evereHwa.gov/permits <br />(Blue or Black ink Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: ET 6019 Broadway PARCEL#: 00544SM00400 <br />p IVE Everett R WA zip 98203 <br />SUITEIUNIT#: WA FLOORM1stow ADDITIONAL LOCATION INFORMATION: <br />TENANTIBUSINESS NAME T non-residential): ESTFIN LLC <br />CONTACT INFORMATION <br />OWNER NAME ESTFIN LUC <br />OWNER MAILING ADDRESS STREET 123w CYRUS WAY SUITE#103 <br />ry MUKILTEO argue WA zip %275 <br />OWNER PHONE: 42535] 3873 <br />JOWNER EMAIL: ANDREW@SEATOWNOEVELOPMENT.COM <br />CONTRACTOR CONTACT NAME: AAA NW CONSTRUCTION ING <br />WA STATE CONTRACTOR LICENSE IRREQUIREOI: AMNWNC9S4PR <br />CRY OF EVERETT BUSINESS LICENSE#(REQUIRED): 54950 <br />CONTRACTOR ADDRESS: STREETB]11 flffi St W <br />ry LAKEWOOD STATE WA zip 98499 <br />CONTRACTOR PHONE: 253-M 2162 <br />CONTRACTOR EMAIL shubin850@gmalman <br />PRIMARY CONTACT: DOWNER ❑CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: CON TACT PHONET2538"a <br />CONTACT EMAIL: ANDREW@SEATOWNDEVELOPMENECCM <br />DEMOLITION PERMIT INFORMATION <br />VALUATION OF WORK: E],500 JASSOCIATED PERMITILAND USE PROJECT deprixona : <br />IVentlon 811111 rho a0lallug ba market value MMI order malerla6 Ono amdd r needed t0 complete the Sew n0 rmor Wx o•Try l <br />BUILDING TYPE: Rai OTownM1OUee ODV lex DADU OMUHi-Famil - #Unite: OCAmmemial 71fincroamorry Structure <br />DESCRIPTION OF WORK: Complete DerrMlitlOn a Removal of existing I Story F FR home. <br /># OF SQUARE FEET REMOVED: am <br />Al DWELLING UNITS REMOVED: i <br />HISTORIC STRUCTURE: DYes ONa (eamad Plamma ob.bnroleam amm.adliunal �uireme,tamrn.macawcmio run x:mac Pwimwurlu®tMdanxronc aaenayg. <br />SHORELINEIFLOODPLAINPROXIMITY:DYes D+No(canwci%nnn9ommnmRmabmtshamkwande do immpulm nmeeaucmrebau9dem had ,:owmeana). <br />EXISTING UNDERGROUND TANK: ONo Tank OYestenkwillslay inpMce-lype: L]Yes-bank to be removed - type: <br />UNDERGROUND TANK SIZE: ONo Tank ❑ Under 10,000 gallons E110,000gaIIm60r Over <br />PEDESTRIAN PROTECTION NEEDED: DYES Ri(Required men EemdPoen as In close pr mdy by ROW. Include a pedestrian moredmn man fir revkwl. <br />CONSTRUCTION FENCING NEEDED: DYee ONo(if yes, shop the temp construction handling location on me required sire plant. <br />DUMPSTER IN R.O.W. NEEDED: DYes D+ND (if yes, apply far separelE Traffic Street USE Fermis online at prr.evmemw prat <br />RAFFIC CONTROL PLAN NEEDED: DYee ONO (Requied elmn torsi pending lane, or threat lane dwure is needed. <br />If ye; apply fa a separate Traffic So-eal We Permit online at pu.everetlwa.9w) <br />SEWER SERVICE CONNECTED TO BUILDING LYea LINO (If your, a sepmte Utimy Permit rail be Issued far dds aeeer rap off Poor to denroll <br />ATER SERWOE CONNECTED TO BUILDING: DYes ONO(if than cep at beck ante of meterlxKK to demolMon and wrbd Ul Bllllrg to amp billing) <br />ELECTRICI PF CONNECTED TO SUILDING: DYes ONo (if yes apply for separate He ormal Permilbar dixonned and disconnect servires prior to demclNon4 <br />ABATEMENTACKNOWLEDGMENTS: The appear u respondble far orrov nca Ron all ions( shoe, and tedaral farm Wil and regdal u"mal ornof <br />duAmned herein. By clKKki09 fee boy herd b each eWf nt type Below,', the ownar/applicad, acbpwls)ge my noponsmarry, agree to the terms and conditions of Me <br />raarirementa, and pay aaaa by fire requirements dadn9 canna atmn. <br />OJ Asbestos Ahabmerll: Reauiled'n line am Pagel Sound Clan Air Agemor ESCAA) hodllpsdermir owl An AabesmoVenulilion NmXication must be submllM <br />To PSfM before any asbestos removal adendlllon begins and hiss Me gtproon sto abatement raped donumenlallon on -after dudry mratim,am. <br />0 lead Faint Abatement: Conretl me Srchadah Health Cankr(sXDI Impe:Ilwanv.snhhd,argRaepmMable lead paint abalemMl requirements <br />Recant Abaleme Prcpa parent aba [ ahal be mndhnted pdx N demdl . <br />SUE PLAIT REOU IREMENTS: Submx 2 here copies of she pan shooting wlldings by be retention! Solo Permit apmimtmn to Pelmil make Omp Bma or at h <br />eledmnic die man wth perm0 apgicalkn EwMnixong eleNmically. Pans shall M in impsrann compiled pM, 8.51 or llx1] str . Naming "vaMm: <br />Address DeamMermllPlens. <br />nxeepgeatron and cmmm me upmmazmn mrrmmwnemin lamnalecwmn.w enre PlaaradmnsePanmmux mmyywm <br />aura fl rMr,State, mdmaallar Tire&a^firgdepaMlodyeuMaoeaePp'ovetluwk aMroewkWns fM from. dNarMe miser Mlhe aNlo Mwdn0 from the <br />BugSmg ORPRIbelwe beirgauNronzedandaanycircumWn lam thadayso w lamamhcrhed by me own Erdnnsprcpwrybpubrm me waklw whiNapp4Monu ruade. <br />ant l mnlgy mm(he Soaze Contractors Law 18.27 FCWand 298.2M WAC <br />dtyWEmand OMh Orgy <br />.e�Ate�il.urr 56,4ARP, 12.07.22 PERMR# <br />OvinerlAuthorized Agent Signature Dale (Revised 4,21,2022) <br />