2802 BROADWAY VOLUNTEERS OF AMERICA 2022-06-30

1.111 Iwo BUILDING PERMIT APPLICATRN 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 ON)everettwa.gov/permits (Blue or Black Ink Only Please) ;; PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 2802 Broadway Ave PARCEL#: 00439166301900 cITY EVERETT STATE WA ZIP 98203 SUITE/UNIT#: FLOOR#: 1&2 ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):Volunteers Of America LEGAL DESCRIPTION for new construction: Short Plat/subdivision:Bt-K w7 O...00 Lot No.:`p+s Il attach copy of long legal description) CONTACT INFORMATION OWNER NAME:VOA WESTERN WASHINGTON PROPERTIES CORP OWNER MAILING ADDRESS: STREET PO BOX 839 ITY Evere STATE WA zip 98206 OWNER PHONE: OWNER EMAIL: CONTRACTOR COMPAN NAME:TBD av E W 1-4 c-fk S i 3 t® ,veidia 6,114 Oil, WA STATE CONTRACTO' LICENSE#(REQUI•ED): CITY OF EVERE BUSINESS LICENSE#(REQUIRED): J lJ CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-252-2153 Clint [2812 Architecture] CONTACT EMAIL:clint@2812architecture.com BUILDING INFORMATION VALUATION OF WORK:$35,000 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:Business PROPOSED USE OF BUILDING:Business HEAT SOURCE: ❑Gas ❑Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex EADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair ETA. ❑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: REVISE INTERIOR OF OFFICE AREA ON MAIN AND 2ND FLOOR. AREA OF T.I. = 1,148 SF. 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 properly to perform the work for which application is made, and I corn ly with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only (O/Z\ PERMIT# 0ss Owner/Authorized Agen ignature Date (Revised 2/8/2021) V2,