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BOLDING PERMIT APPLICAIIIDN <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 4208 Rucker Ave PARCEL#: 00582202300801 <br /> c,Ty Everett STATE Wa ZIP 98201 <br /> SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANT/BUSINESS NAME (if non-residential): At Your Leisure Services, LLC <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Charmae, LLC <br /> OWNER MAILING ADDRESS: STREET 3815 Colby Ave <br /> c,n Everett STATE Wa zip 98201 <br /> OWNER PHONE: 425-339-4158 OWNER EMAIL: lisa©atyourleisure.net <br /> CONTRACTOR COMPANY NAME: New Heating & Cooling, LLC <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED): NEWHEHC842BO CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 61275 <br /> CONTRACTOR ADDRESS: STREET 8425 219th St. SE. Suite 102 <br /> CITY Woodenville STATE WA ZIP 98072 <br /> CONTRACTOR PHONE: (425) 280-1734 CONTRACTOR EMAIL: newhcsystems@gmail.Com <br /> PRIMARY CONTACT: ❑ OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-280-0527 <br /> Marvin Cordell CONTACT EMAIL: newhcsystems@gmail.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK: $ 2,500 ASSOCIATED LAND USE PROJECT#(if applicable): <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 OF BUILDING: Retail / Light Industrial <br /> PROPOSED USE OF BUILDING: Retail / Laundry Facility <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: Removal of 2 walls of an existing bathroom and 1 wall of breakroom, which is a total <br /> of 35 feet of wall. Contruction of 26 feet of wall to divide show room and create a <br /> segregated washroom. Adding 5 commercial washers and 5 commercial dryers. <br /> Installing a tankless water system. Modify electrical system to for additional <br /> machines. Installing gas and venting for dryers. <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.1 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 /> (✓ PERMIT#!1 ` 1 f r 0311 <br /> �Gt 2 12/14/2021 1 (� <br /> ner/Authorized Agent Si ur / i Date (Revised 2/8/2021) <br /> ( is <br />