2020 LAKE HEIGHTS DR WATERFORD PLACE APTS 2022-02-15

• 11111111111 BUILDING PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES E Ytt E R E T IT SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements and number of copies required for review, WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. CONTACT INFORMATION: (P)425.257.88101(E)everetteps©everettwa.gov 1(W)everettwa.govipermits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 2020 Lake Heights Dr (p}u Fc') PARCEL#: CITY Everett STATE WA ziP.98208 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): Waterford Apartments LEGAL DESCRIPTION for new construction: Short Plat/subdivision; Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Waterford Apartments LLC OWNER MAILING ADDRESS: STREET 18006 SKY PARK CIR STE 200 clTv IRVINE STATE CA z;p 92612 OWNER PHONE: 714-585-3485 OWNER EMAIL: nsoresi©sageaptmgt.com CONTRACTOR COMPANY NAME: POLEN PROPERTY SERVICES LLC ) WA STATE CONTRACTOR LICENSE#(REQUIRED): POLENPS822JF CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): RECEIPT 2021 CONTRACTOR ADDRESS: STREET 4104 SW 327TH PL c ry FEDERAL WAY STATE WA ZIP 98023 CONTRACTOR PHONE:206-841-0881 CONTRACTOR EMAIL: POLENOFFICE@POLENPROPERTYSERVICES.COM PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR E OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-681-0015 ANGELICA J UAREZ CONTACT EMAIL: ANGELICA@POLENPROPERTYSERVICESCOM BUILDING INFORMATION VALUATION OF WORK: (, 1 -7 9 t, ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall include the prevailing fair market value of at labor,materials,and equipment needed to complete the work,whether actually paid or not.) EXISTING USE OF BUILDING: APARTMENT COMMUNITY PROPOSED USE OF BUILDING: HEAT SOURCE: ❑Gas )Electric ❑Other BUILDING TYPE: ESFR DTownhouse DDuplex EIIADU MUlti-Family-#Units:200 ❑Commercial DAccessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction DAddition ERemodel DRepair DT.I. ❑Change of Use ❑Modular ❑Portable ORe-roof ❑Exterior Alteration )Tank(above ground) DAccessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ETank(above ground) ❑Other. DESCRIPTION OF WORK: ak\10,6\w\51 joy- ( ACKNOWLEDGEMENT:t have reviewed this application and confirm the information contained herein is true and correct.Work done pursuant to this permit must comply with current federal,state,and local law The granting of a permit only authorizes approved work and no deviatons therefrom.Deviations must first be authorized in writing from the Building Official before being authorized under any circumstance tam the owner,or I am authorrzed by the owner of this property to perform the work for which application,s made, and t comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# 2 10/13/2021 3 Z l l 0 - 0 35 Owner/Authorized Agent igt'tature Date (Revised 2/8/202/) /7