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9204 EVERGREEN WAY 2022-04-01
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9204 EVERGREEN WAY 2022-04-01
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4/1/2022 1:55:07 PM
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4/1/2022 1:53:56 PM
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Address Document
Street Name
EVERGREEN WAY
Street Number
9204
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E <br /> ERLDING PERMIT APPLICA1N <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)425.257.8810 I(E)everetteps@everettwa.gov l(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREETL 201A jcc��(��, Li) PARCEL#: 00480200202101 <br /> cry EVERETT J STATE WA ZIP 98204 <br /> SUITE/UNIT#: FLOOR#: 1 ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANT/BUSINESS NAME(if non-residential):LABELLA NAILS LASH HAIR SPA <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:ROBERT N KARDACK ( CURRENT OWNER BUT SALE TO TENANT PENDING ISSUANCE OF PERMIT) <br /> OWNER MAILING ADDRESS: STREET 10308 DAKOTA WAY <br /> CITY EVERETT I STATE WA ZIP 98204 <br /> OWNER PHONE: (OWNER EMAIL: <br /> CONTRACTOR COMPANY NAME:HONG'S GENERAL CO STRUCTION & PLUMBING ubi 602774379-001-0007 <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):CCHONG GC825B5 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 55121 d <br /> CONTRACTOR ADDRESS: STREET3319 S 249th <br /> CITY KENT STATE WA zip 98032 <br /> CONTRACTOR PHONE:206-227-2275 CONTRACTOR EMAIL:hongtphan@gmail.com <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) ARCHITECT <br /> CONTACT NAME: CONTACT PHONE:206-409-0755 <br /> THOMAS THOMPSON ARCHITECT CONTACT EMAIL:ttsquared@gmail.com <br /> BUILDING INFORMATION <br /> VALUATION OF WOR $95,000 ASSOCIATED LAND USE PROJECT#(if applicable): <br /> (Valuation shall include the pm fling fair ma et value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) <br /> EXISTING USE OF BUIL • mber Ale Lounge <br /> PROPOSED USE OF BUILDING:Nail & Hair Spa <br /> HEAT SOURCE: ElGas ❑✓Electric ❑Other <br /> BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure <br /> TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair ETA. ❑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) ❑✓Other:change of use if Amber Ale is listed other than Group B <br /> DESCRIPTION OF WORK: <br /> remove existing interior improvements, divide bldg into two tenant spaces where the <br /> new owner will operate a nail / hair spa in the larger space. Add ADA restrooms, Spa <br /> treatment rooms. P <br /> sign-builds.. existing wood framed storefronts are <br /> to be replaced with commercial glass & aluminum. Roofing follows IBC 1511 on <br /> installing new TPO over existing roofing. Signs tr nantizf t re per•r„it <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 1 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 /> ',l4l� PERM <br /> 04-27-2021 o� `O,--+g <br /> Owner/Authorized Agent Signature Date (Revised 2/8/2021) <br />
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