7920 EVERGREEN WAY 2022-10-06 - Laserfiche WebLink

MIN BIDING PERMIT APPLICATION 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)PermitServices@everettwa.gov i (W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 7920'Evergreen Way PARCEL it: 28050700306900 CITY Everett STATE WA ZIP 98021 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):McDonald's LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Archland Property I LLC OWNER MAILING ADDRESS: STREET 2711 Centerville Road #400 CITY Wilmington STATE DE ZIP 19808 OWNER PHONE: OWNER EMAIL: CONTRACTOR COMPANY NAME:EM Precision WA STATE CONTRACTOR LICENSE#(REQUIRED):EMPREL*981 LO CITY OF EVERETT BUSINESS LICENSE#(REQUIR29),` CONTRACTOR ADDRESS: STREET 1407 Valentine Ave SE STE 105 CITY Pacific STATE WA ZIP 98047 CONTRACTOR PHONE:253-268-0742 CONTRACTOR EMAIL:ell@em-precision.com PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) Faster Permits CONTACT NAME: CONTACT PHONE:503-438-8113 Nathan Arnold CONTACT EMAIL:nathan@fasterpermits.com BUILDING INFORMATION VALUATION OF WORK: $30,000 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:McDonald's PROPOSED USE OF BUILDING:no change 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 ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK: Repair fire damage. Patch and repair roof to return to pre-existing condition. Replace all ceiling tiles and grid in kitchen and dining areas. Replace insulation and radiant foil barrier in kitchen and dining area. ee-aH--tight fixtures in kitchen and-dininga. Repair-ait-Tnec Repair-ga • 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 I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only �-- 6/30/22 M12� 01 Owner/Au orized Agent Sign ture Date (Revised 4/21/2022) 12._