10505 19TH AVE SE EDWARD JONES 2022-04-29

PILDING PERMIT APPLICAIN 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 10505 19th Avenue SE Suite B PARCEL#: 28052000203200 cm, Everett STATE WA zip 98208 SUITE/UNIT#: B FLOOR#: 1 ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):Edward Jones LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Curtis Epperly OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: (314) 515-3966 OWNER EMAIL: Curtis.Epperly@cushwake.com CONTRACTOR COMPANY NAME: Viking Construction Group -Michelle Dysinger WA STATE CONTRACTOR LICENSE#(REQUIRED):VIKINCG837LT ,CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 60079 CONTRACTOR ADDRESS: STREET2609 WETMORE AVE ciTY Everett STATE WA zip 98201 CONTRACTOR PHONE:425.382.2149 CONTRACTOR EMAIL:Mdysinger@Vikingcg.net PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:(360)547-3146 Michelle Dysinger CONTACT EMAIL:Mdysinger@Vikingcg.net BUILDING INFORMATION VALUATION OF WORK: $90,000. 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: Professional Services- Insurance Broker PROPOSED USE OF BUILDING:Professional Services- Investment Adviser HEAT SOURCE: ❑✓Gas ❑Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓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 ETank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK:Interior alterations to an existing office space The Building permit application #: B2111-036 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.I am the owner,or I am authorized by the owner of this property 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# � � � �� V—• ei 1 11/10/2021 Owner/Authorized Agent Signat J Date (Revised 2/8/2021)