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134DING PERMIT APPLICATON <br />CITY OF EVERETT PERMIT SERVICES <br />EVERETT SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, <br />WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. <br />CONTACT INFORMATION: (P) 425.257.88101 (E) everetteps@everettwa.gov I (W) everettwa.gov/permits <br />(Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: STREET 7807 Evergreen Way PARCEL #:280507-003-062-00 <br />CITY Everett STATE- WA aP 98203 <br />SUITEIUNIT #: FLOOR #: ADDITIONAL LOCATION INFORMATION (if applicable): <br />TENANT/BUSINESS NAME (if non-residential): Laundry Genius <br />LEGAL DESCRIPTION for new construction: Short Plattsubdivision: Lot No.: (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: Brian Riseland <br />OWNER MAILING ADDRESS: STREET 7807 Evergreen Way <br />CITY Everett STATE WA mp98203 <br />OWNER PHONE:425.877.6665 <br />OWNER EMAIL: bdan@laundry-genius.com <br />CONTRACTOR COMPANY NAME: Northwest Awning & Fabric <br />WA STATE CONTRACTOR LICENSE #(REQUIRED): NORTHAF141 PC <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): <br />CONTRACTOR ADDRESS: STREET 4448 27th Ave West <br />CITY Seattle STATE Washington aP 98199 <br />CONTRACTOR PHONE:206.285.2941 <br />1CONTRACTOR EMAIL: travis@northwestawning.com <br />PRIMARY CONTACT: ❑ OWNER XCONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />Travis Dever <br />CONTACT PHONE: 206.285.2941 <br />CONTACT EMAIL: laura@northwestawning.com <br />BUILDING INFORMATION <br />VALUATION OF WORK: $ 4,177.37 <br />1ASSOCIATED LAND USE PROJECT # if applicable): <br />(valuation shah include the prevailing fair market value of all labor, materials, and equipment needed to complete the work, whether actually paid or not.) <br />EXISTING USE OF BUILDING: Commercial - Laundromat <br />PROPOSED USE OF BUILDING: Same use - no Change <br />HEAT SOURCE: ❑Gas ❑Electric ❑Other <br />BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Mufti -Family - # Units: CgCommercial ❑Accessory Structure <br />TYPE OF PROJECT (check all that apply) : ❑New Construction ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Change of Use <br />❑Modular ❑Portable ❑Re -roof ❑Exterior Alteration ❑Tank (above ground) ❑Accessory Structure <br />❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank (above ground) Mother. Awning <br />DESCRIPTION OF WORK: <br />We plan to install a stationary awning above the doorway of the existing business at 7807 Evergreen Way. The work <br />will be completed in 1 day and will not impede any public space. <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 />PERMIT # <br />11/03/2021 <br />Owner/Authorized Agent Signature Date (Revised ZWO21) <br />