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PERMIT APPLICATION <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 � FAX 425-257-8857 �(E)everetteps@everettwa.gov� www.everettwa.gov/permits <br /> :(Blue orBlack Ink Only Please) PROJECT:SITE INF�RMATtON, . <br /> PROJECT SITE ADDRESS: 976 West Casino Road, Everett,WA 98204 PROPERTY TAX#: 0039Z�O000040� <br /> LEGAL for new construction: Short PlaUsubdivision . � ' Lot No. (attach copy of long legal description) <br /> CONTACT INFORM/1T10N <br /> OWNER NAME:Preservation Partners Development-Nicholas Tufano TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: srRe�r 21515 Hawthorne Blvd, Suite 125 <br /> c�rr Torrance STATE CA zia 90503 <br /> OWNER PHONE:310-802-6682 OWNER EMAIL: niCk@pl'eSet'vati0npaftn@fS.Org <br /> CONTitaCTOR NAME; The Waish Group(Michael Curran-Project Manager) <br /> CONTRACTOR ADDRESS: sTReer 16400 South Center Parkway,#501 <br /> ciN Seattle STATE WA zia 98188 <br /> CONTRACTOR PHONE: 206-394-7300 CONTRACTOR EMAIL: mcurran@walshgroup.com <br /> CONTRACTOR LICENSE#(REQUIRED): ��O� � ' CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> .... _ <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR f$OTHER(Please Specify) AI"Chit@Ct <br /> CONTACT NAME: Maurice Diaz c/o SMR Architects CONTACT PHONE: 2O6-6Z3-��Q4 <br /> 117 S.Main St.,Suite 400 <br /> Seattle,WA 98104 CONTACT EMAIL: rpolaZ C�l SCTit'aCClllt@CtS.COCTi <br /> BUIL.DING PERMIT;APPLIGATfON <br /> Existin Use of Building:Muiti-Family Residential Contract Price of Work:$ $2,191,663.00(total work includes 50 bidgs.) <br /> Proposed Use of Building: no change Heat Source: ❑Gas glElectric ❑Other <br /> Buildin Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex �IMulti-Family-#of Units: 4 ❑Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel �1Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK:Residential Buiiding-New Roofing,Siding, Unit Entry Doors&Windows, Exterior Paint; Interior Paint; <br /> New kitchen cabinets&fixtures, new flooring, new bathroom fixtures&accessories. <br /> ASSOCIATED BUILDING PERMIT# if applicable : <br /> MECHANICAL`PERMIT APPLICATION PLUMBING PERMIT:APPLIGATION. <br /> Type of Project: _New Addn Alteration Repair Type of Project: _New _Addn Alteration Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #°f List of Fi�ctuies <br /> Fixtures Fiartures 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 /> 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 /> SPItINKLER/StlPPRE�iS10N 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 autho�ized in writing from the <br /> Building Official befo�e 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 the State Contractors Law 18.2 CW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> ` 1 /� ' t �� PERMIT# �� �l O� <br /> v{ "�J <br /> Owner/Auth rized Agent Signature Date (Revised 5/20/2016) <br />