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PERMIT APPLICATION <br /> #IIP' <br /> BUILDING/ MECHANICAL/ PLUMBING/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 1 www.everettwa.gov/perrnits <br /> 010,407.1--PitglIN.0.61§1-Orri01:::]ji.A:',1f,:tn:1, '.-''::2;'' : :::.• '., <br /> PROJECT SITE ADDRESS:10315 IR vv, 601\0,4 wof A PROPERTY TAX#: osiop ASCO lobo° <br /> LEGAL for new construction: Short PlaVsubdIvislon Lot No. (attach copy of long legal description) <br /> ..,% <br /> OWNER NAME: Silver Lake Pavilion LLC c/o Steve Zuvela TENANT NAME(If Commercial): ( VW-0\006\) <br /> OWNER MAILING ADDRESS: STREET 13029 44th Avenue SE <br /> Everett <br /> CITY STATE WA BP 98208 <br /> OWNER PHONE: 206-786-6455 OWNER EMAIL: Steve@waterfrontconstruction.com <br /> CONTRACTOR NAME: <br /> _ — <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> _.. . _. . .. --_,.. . .. .. , . .._ ._. .. .. . .. . . <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 1i10-11-IER(Please Specify) .-rectlx-s!‘1( <br /> CONTACT NAME: CONTACT PHONE: i ZO t 32- -0211 t <br /> bacfJ2\0,_ 1-fi&)1,,k kOctigaidAL,CONTACT EMAIL: -3, • ' ? <br /> 0( C6_-*, krOkAN.(0 L)C 44 <br /> Existing Use of Building: Wey...f.; c0i,eick\i• 0)liqpr. Contract Price of Work:$4,r1 O M-CO <br /> Proposed Use of Building: CAri\CO Ns-CAL- OVA ut Heat Source: OGas 0Electric 00ther - <br /> Building Type: OSFR-Detached DSFR-Attached ODuplex 0Multi-Family4 of Units:_ )11Commercial Olndustrial <br /> Type of Project ONew OAddition ORemodel ORepair 51lT.I. OSign OSprinkler ODemolition DChange of Use <br /> DESCRIPTION OF WORK: <br /> L-k <br /> ‘1,erc vg 0 n 2., Lx:sci-i\x• <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> 100,0001.1a4e#ORMIT,A0PAPATiCirti. '', _,' -... . --7-- #.0mBINA PERMIT APO,LicATI ON <br /> Type of Project: New Addn Alteration Repair Type of Project: New Addn Alteration Repair <br /> #of #of #of #of <br /> List of Fixtures List of Fixtures List of Fixtures List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> NC-Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove _ Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting ' Dishwasher Roof Drains . <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other. <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other <br /> :-'SPRINKLER rsOpOOE$Ipti SYSTEM <br /> Number of Heads — <br /> ACKNOVVLEDGEMENT: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!am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296 200A WAC. <br /> City of Everett Official Use Only <br /> / , . /i5/ o/ PERMIT# <br /> 15 ( (CO-2 .'' 0 ) 0 <br /> Owner/Authorized Agenda 0?a re ate (Revised 10/12/2015) <br /> Steve Zuvela for ilver Lake Pavilion, LLC \l'a <br />