11014 19TH AVE SE APPLAUSE DANCE STUDIO 2022-03-04

MIN BilLDING PERMIT APPLICA*N CITY OF EVERETT PERMIT SERVICES EVERETT 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)425.257.8810 i(E)everetteps©everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 11014-19th Ave.SE PARCEL#: cm,Everett STATE WA zip 98208 SUITE/UNIT M. 23 FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):Applause Studio Inc. LEGAL DESCRIPTION for new construction: Short Plat/subdivision: N/A Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Edie Smith OWNER MAILING ADDRESS: sTREET 9233 - 36th Ave SE cmr Everett STATE WA zip 98208 OWNER PHONE:425-239-5902 OWNER EMAIL: edie@advancedtraffic.com CONTRACTOR COMPANY NAME:LaCasse Construction WA STATE CONTRACTOR LICENSE#(REQUIRED):LACASC*991 KH CITY OF EVERETT BUSINESS UCENSE#(REQUIRED):40047 CONTRACTOR ADDRESS: sTREET2726 Rucker Ave. cry Everett STATE WA zip 98201 CONTRACTOR PHONE:425-317-9842 CONTRACTOR EMAIL:jack@builtbylacasse.com PRIMARY CONTACT: D OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-239-5902 _ Ed ie Smith CONTACT EMAIL:edie@advancedtraffic.com BUILDING INFORMATION VALUATION OF WORK:$50,000.00 ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not) EXISTING USE OF BUILDING:Vacant PROPOSED USE OF BUILDING:Dance Studio HEAT SOURCE: OGas ❑✓Electric DOther BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU DMulti-Family-#Units: ✓❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ONew Construction DAddition DRemodel ❑Repair ✓❑T.I. ❑Change of Use DModular ❑Portable ❑Re-roof ❑Exterior Alteration OTank(above ground) DAccessory Structure ❑Fence over 7ft high DRackStorage ❑Pool/Hot Tub ❑Tank(above ground) DOther: DESCRIPTION OF WORK:Interior tenant improvement. Partition walls for reception and dance studios. Relocation of wall section for ADA compliant restroom. 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 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 Building Official before being authorized under any circumstance.tam the owner,or I am authorized by the owner of this properly to perform the work for which application is made, and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# .1/21er/Authors Agent Signature Da (Revised 2/812021)