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PERMIT APPLICATION <br /> BUILDING / MECHANICAL/ PLUMBING / SIGN / SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 4Err 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 1321 BruskrUd Rd, Everett, WA 98208 PROPERTY TAX#: 280519-001-017-00 <br /> LEGAL for new construction. ShortPlat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Preservation Partners Development(Nick Tufano) TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 21515 Hawthorne Blvd, Suite 390 <br /> crry Torrance STATE CA ZIP 90503-6514 <br /> OWNER PHONE: (310) 802-6682 .OWNER EMAIL: nick@preservationpartners.org <br /> CONTRACTOR NAME The Walsh Group (Michael Curran - Senior Project Manager) <br /> CONTRACTOR ADDRESS: STREET 16400 South Center Parkway, Suite 501 <br /> CITY Seattle STATE WA ZIP 98188 <br /> CONTRACTOR PHONE: (206) 394-7300 CONTRACTOR EMAIL: mcurran@walshgroup.com <br /> CONTRACTOR LICENSE#(REQUIRED): 600474493 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR rxl OTHER(Please Specify) SMR Architects <br /> CONTACT NAME: SMR Architects (Maurice Diaz) CONTACT PHONE:(206) 316-2689; (206) 623-1104 <br /> 117 S. Main St, Suite 400, Seattle, WA 98104 CONTACT EMAIL: mdiaz@smrarchitects.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Residential Contract Price of Work: $ 155,584.56 <br /> Proposed Use of Building: Residential Heat Source: ❑Gas lxlElectric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ®Multi-Family-#of Unit : 8 ) ❑Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ®Remodel ®Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> In-kind replacement of interior doors, plumbing fixtures, electric panels, cabinets, appliances, lighting, heaters, and finishes; <br /> replacement&improvements to exterior siding.windows&insulation, roofing; hearing/vision impaired accommodation units. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New Addn _Alteration _Repair Type of Project: _New Addn Alteration Repair <br /> #of List of Fixtures #of • <br /> List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—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 /> Walser 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/ SUPPRESSION SYSTEM <br /> Number 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 ith the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> ge City of Everett Official Use Only <br /> PERMIT# <br /> Ownerh uthorized Agent Signature ate (Revised 5/20/2016) <br />