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4Err 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 I FAX 425-257-8857 1(E)everetteps@everettwa.gov i www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 1300 100th Place SE, Everett, WA 98208 (BLDG E PROPERTY TAX#: 280519-001-018-00 <br /> LEGAL for new construction: Short Plat/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 /> cm( 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 /> ars(Seattle STATE WA ZIP 98188 <br /> CONTRACTOR PHONE: (206)394-7300 CONTRACTOR EMAIL: mcurran@walshgroup.co <br /> CONTRACTOR LICENSE#(REQUIRED): 600474493 CITY OF EVERETT BUSINESS LICENS #(REQUIRED): C1�_Di—! <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 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: Offices Contract Price of Work:$ 155,584..56 d Z-/CV7 <br /> Proposed Use of Building: Offices Heat Source: ❑Gas QElectric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: C Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ®Remodel I2Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Replacement& improvements to exterior siding; painting interior and exterior walls; site improvements. <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 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 /> 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/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 with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> a(/riij( � PERMIT#Fi(PoqO�� <br /> Ow r/Authorized Agent Signat re Date l (Revised 5/20/2016) <br /> (z_ <br />