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PERMIT APPLICATION <br /> /1111/0.Y/----A BUILDING/ MECHANICAL/PLUMBING/SIGN /SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 l FAX 425-257-8857 l(E)everetteps@everettwa.gov l www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 1321 100th Place SE, Everett, WA 98208 PROPERTY TAX#:280519-001-017-00 <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 /> cni Torrance STATE CA ZIP 90503-6514 <br /> OWNER PHONE: (310)802-6682 OWNER EMAIL: nickt preservationpartners.org <br /> CONTRACTOR NAME: The Walsh Group(Michael Curran-Senior Project Manager) <br /> CONTRACTOR ADDRESS: STREET 16400 South Center Parkway, Suite 501 <br /> cn-v Seattle STATE WA ziP 98188 <br /> CONTRACTOR PHONE: (206)394-7300 CONTRACTOR EMAIL: mcurranRwalshgroup.com <br /> CONTRACTOR LICENSE#(REQUIRED): 600474493 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 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 0Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex I31Multi-Family-#of Unit 11110 ❑Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition RIRemodel ElRepair ❑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;upgrade of existing units to Type'A'. <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 /> 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 I 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 /> Q,�t, \ ( Z7 fl PERMIT# <br /> 171 <br /> ( L�r1vE — PPA-1(0Owner/Ahorized Agent Signature D e 1� (Revised 5/20/2016) <br /> (iv <br />