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NEW <br />DEMOLITION PERMIT APPLICATION <br />EVERETT <br />on OF EWERETT PERMIT SERVICES <br />SUBMITTALINSTRUCTIONS:Coleco bard oapypapecapplication &plan 0$200 Cedar Street 2na Floor intake Orop Sox. <br />WAeemmoN <br />CONTACTINFORMATION:(P)425257.881011E)avamllopa®evorellwa.Bov I(W) averelbvagovlparmka <br />(Bloc or Block Ink Only Phrase) (:PROJECT: SITE INFORMATION <br />PROJECT SITE ADDRESS: amen tlBOi silver Lekew PARCEL d: 280s300010020 <br />TMF mo <br />sUITWUNR4: FLOOR* ADDITIONAL LOCATION INFORMATION: <br />TENANT/BUSINESS NAME (B bomresldentMD: <br />r CONTACT INFORMATION <br />OWNER NAME: Oly,FEooralt <br />OWNER MAILING ADDRESS: smaLLE2 E MuNlteo Blvd <br />our Everett srnE WA on, W203 <br />01NNERPHONE:425328A694 <br />OWNER EMNL:Oemaualmesay®avereuwe.ew <br />CONTRACTOR CONTACT NAME: 1 nStAnt <br />CON5IYKLNm'1 <br />WAUATECONTRAGTORLICENSE"EQUIRED),rAST,tCI47605 <br />CITY OP EVERETT BUSINESS LICENSENREQUIREO): 44571 <br />CONTRACTORADDREBBI Sol <br />cant Are Zaa <br />CONTRACTOR PHONE: CONTRACTOR EMAIL: <br />PRIMARY CONTACT: mOWNERML ❑CIO..NTRACT(R ❑OTHER(Preae SpecVy) <br />CONTACT NAME:D.. n Sllau Ili)Pi�J$ CONTACT PHON"RE 320i694 <br />9 Y CONTACT E MIU Oenaojhnwsy®eermsewa.aan <br />DEMOLITION PERMIT INFORMATION <br />VAUTATION OF WORK: S tos,ro0 ASSOCIATED PERMITILAND WE PROJECT N eM1 ow <br />MnoMWW egm nol) <br />AElTownhoue aODumlex mOM <br />BUILDINOTYPE: OSFR aOADO IN-Femll -d Un urn ElCommerald �Awam Slmdure <br />DE80RIPTIDN OF WORK: AebaeloeAbatement, UnderOroun Wank Removal, Oemedi o s and Olaposal of 22008E Rawadence <br />d OF SQUARE FEET REMOVEWssvosF <br />dOF DWELLING UNITS HEMOVEU;l <br />HISTORIC STRUCTURE: []Yea ONo tWmleynne Mason to lawn Stall ellpimimgoeamants for Abode doubtless Or, NiomMRpuyjampled inaxxmdabvwlpN. <br />HORELINEIFLOODPLAIN PROXIMNI'lY�:� OYes ENG econmxFfmtapm balm, to to Mromaane lbadpmm mqutnmenw 0 ebadurs Wag derwmwd Is arcane art <br />u XISTINGUNDERGROUNOTANK: wOTank OYes- Mnk Will slay in place -type;s Yetr lank to ba removed -type: Stove 0l <br />UNDERGROUND TANKBKE: ONo Tank OUndeclO,DODOdlons O10A00aalbnsomever <br />PEOESTRIAN PROTECTION NEEDED: OYn ONo Summed Moan correlated la Indoor Swanson to R.O.W. Include a accelerate powlsetun plan for"Ove. <br />CONSTRUCTION FENCING NEEDED: OWL; ONo{Elver, ahmvMe temporary vnMrvB larcam bwtlon m the required silo panl. <br />DUMPSTER W 0.0.W. NEEDED: ElYea ONo pryer, Sony wr a SepareleTea eSVact ban parent areal pxeveromvv.vW l <br />RAFFIC CONTROL PLAN NEEDED: OYea ONO (Rplibordwhen Warmalk, acres lane. ortrevel lens dosure Is needed. <br />If yes, apply lor a Separate Tat Sired Use Panel(" Ire at pw.4vocce enov). <br />SEWER SERVICE CONNECTED TO BUILDING: ©Yes ONo Of yes, a sapxeb muly Permit Nil be Issued for aloe sower cap ax your Is damonttoin. <br />WATER SERVICE CONNECTED TO BUILDING: .OYe l mNo (It yes, cap at Owes dm of many polar to domollllon and wood UIIIIy MlIng to atop NlBM: <br />ELECTRICRYCONNECTEDTOBU&DING OYea ONO BE Few, apply for separate Eleeldeal Feel lot dlewnnnal and 11ewnned SOMme pain to damdliom. <br />ABATEMENT ACKNOWLE06MENT8: im aypAmnua wrpdminNlarwmpymw MPspbcel,amb, end ltlerellews, aoaae, entlreprWbm nkatwa not <br />tlMm dha .. By eheakMpaw Sox natl to Such abelamanf 08 below, 4 am ownsekpplkenl eN:nanletlpe MyreepwlNWgry, u➢ne to" am ,"Samuel of free <br />mWIrEmS^b, and wlaebka by Ma regahamenfe dad^➢wnslrvNbn: <br />m Aaboabu Abatement: RwronW atim mob Pavel 9Wntl ManA4 Nancy (PSnM)nllpdtysdonnalapW. An ASbevbaNenwlbn NawYsllon moil be wbmtllod <br />IsFEW SafIXe any asbestos wmaad m dIMlWYmbBHs and have use approlude oba,mam rapwt do"OnVabo 00-010 dUfloor aUWloo. <br />El Landant MAbvlemonCCedudare BnWanldrHwer@de"drunh doriolliflon W.aml rorvpptlwWalwa pW enelemaNepumnade. <br />❑ ROJenIAWUmeIIG PryarrWvnlebdemenlShall be ovnEageaptloe toaamollllon. <br />SITE PLAN REQUIREMENTS: Sabma 2 head voles a AS plan arcul bulMAms to be dmollabod Vol pStart Oppvicellon to pamltlnbes Daw Box or site vat <br />alBMnto tlw pace MN permltapplication If subnlllln0 OlechmYeally, PWs Shell be In aepwaW, ctmpled pol. Lee or tlxl7 dw. Namkw avn onVom <br />Atltlreas BemePumllPlsns. <br />AGNNOWLEOOEAIENT.'I AM real pYavpporters eMamMen lad MbimMon wnlesmurhareitis weSaw mnM. mlbn b=0purawmla INSpempl Led wfrgewee <br />,,trod/adore{dole,SMbc&kw. TO penLNO ofepgmgamyebtllalm e)pNW4walkaMlro aeNWa'IeNenlNm: Owbll MP$l Wha bMMwtl In Ivdtlrty lhmNre <br />Beewrly(Nualles"? MSpewASwad vM ~"".I emmowMr.0) emeNAdlwanym MXleiMneropNpnMfogll Me weenur eAegNEWprbMWa. <br />and)eoep'Wat So Seho Cowreame Law mR>xwanaaeam➢A was <br />ayaEwreu onkwusaaW <br />PERTMITU <br />OBen SheODhnessy 'oYTw»,a""""re li 07r0��— <br />Cwnecrou prized Award alanatare Data f ewe, <br />N o. a )�J oU n7A <br />