702 W CASINO RD CRYSTAL SPRINGS APTS 2022-03-23

,BODING , BODING PERMIT APPLICATION EVERETT CITY OF EVERETT PERMIT SERVICES 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 1 (E) everetteps@everettwa.gov I (W) everettwa.gov/permits (Blue, or Black Ink Only Please) PROJECT SITE -INFORMATION PROJECT SITE ADDRESS: STREET 702 W Casino Rd PARCEL M crr Everett STATE wa ZIP 98204 SUITE/UNIT #: D-106 FLOOR #: 1 ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME (if non-residential):Pacific Crest Real Estate dba/ Crystal Springs LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Pacific Crest Real Estate OWNER MAILING ADDRESS: STREET 702 W casino Rd CITY Everett STATE Wa Zlp 98204 OWNER PHONE:(425)347-2055 1OWNER EMAIL: neely.Stratton@pacificcrestre.com CONTRACTOR COMPANY NAME:Servpro North Everett WA STATE CONTRACTOR LICENSE #(REQUIRED):SERVPES871 RD CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 052265 CONTRACTOR ADDRESS: STREET1830 Bickford ave suite # 101 cITY Snohomish STATE Wa ZIP 98290 CONTRACTOR PHONE:360-243-8313 1CONTRACTOR EMAIL:office@servproeverettwa.com PRIMARY CONTACT: ❑ OWNER ❑✓ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: Gary Drake CONTACT PHONE:425_551-8742 CONTACT EMAIL:gdrake@servproeverettwa.com BUILDING INFORMATION VALUATION OF WORK: $77,193.00 1ASSOCIATED 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 BUILDINGWUlti family housing PROPOSED USE OF BUILDINGNUlti family housing HEAT SOURCE: []Gas ❑✓ Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑✓ Multi -Family - # Units:l ❑Commercial ❑Accessory Structure TYPE OF PROJECT (check all that apply) : ❑New Construction ❑Addition ❑Remodel ❑✓ Repair ❑T.I. ❑Change of Use ❑Modular ❑Portable ❑Re -roof ❑Exterior Alteration ❑Tank (above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank (above ground) ❑Other: DESCRIPTION OF WORK: Repair apartment D 106 that was damaged due to fire. includes electrical, plumbing, drywall ect. No structural changes. ACKNOWLEDGEMENT. 1 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. I am the owner, or I am authorized by the owner of this property to perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT # (Revised 21812021)