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MIN • • <br /> I I <br /> BVtLDING PERMIT APPLICATION <br /> C <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT <br /> 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 I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 713 SE Everett Mall Way Suite C PARCEL#: 2 8or i B - 003 - 066. <br /> CITY Everett STATE WA ZIP 98258 <br /> SUITE/UNIT#: C FLOOR#: 1st ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANT/BUSINESS NAME(if non-residential): <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:Cronin Family Properties LLC <br /> OWNER MAILING ADDRESS: STREET 430 91st Ave NE Suite 9 <br /> c,T,, Lake Stevens STATE WA ZIP 5898 <br /> OWNER PHONE:4255-879-7679 OWNER EMAIL: John a©Croninpropertiesllc.com <br /> CONTRACTOR COMPANY NAME:Cronin Properties LLC <br /> WA STATE CONTRACTOR LICENSE#(REQ D):CRON IPL861 LF CITY OF EVERETT BUSINESS LICENSE#(REQUIRKAppll@d For <br /> CONTRACTOR ADDRESS: STREET43 st 1st Ve E Suite 9 <br /> crry Lake Stevens STATE WA ZIP 98258 <br /> CONTRACTOR PHONE:4258797679 CONTRACTOR EMAIL:jOhn p©croninpropertieslIc.com <br /> PRIMARY CONTACT: El OWNER ❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:4258797679 <br /> J o h . ron 111 CONTACT EMAIL:John@croninpropertiesllc.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK: $13,000 ASSOCIATED LAND USE PROJECT#(if applicable):N/A <br /> (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) <br /> EXISTING USE OFLplail Executive Suites (Single Offices) <br /> PROPOSED USE OF BUILDING:Retail Executive Suites (Single Offices) <br /> HEAT SOURCE: ❑Gas ❑✓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 ❑T.I. ❑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: <br /> DESCRIPTION OF WORK:As we were updating the lights/flooring, we decided to close off the lobby with a new <br /> 12 foot wall to create another office space. During our electrical inspectoin, they asked <br /> me to pull a building permit for that wall. I have also applied for a General Business <br /> License. Please let me know if there is anything I can do to help move this along. It's a <br /> very small project, but we did add the wall late so that was my fault. Thank you <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 I 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 /> PEEti.).10( + t�s— -- 8/10/2021 0 2 1 <br /> Owner/ uthorized Agent Signature Date (Revised 2/8/2021) <br /> 1 <br /> /2- <br />