2401 BROADWAY 2023-02-03 - Laserfiche WebLink

BUILDING 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)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 2401 BROADWAY AVE PARCEL#: 00439154700100 cm EVERETT STATE WA ZIP 98201 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):TIM'S BIKE SHOP LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:YOU N ME LLC(CARA HIESTER) OWNER MAILING ADDRESS: STREET 205 LAMAR DR cm MUKILTEO STATE WA zip 98275 OWNER PHONE:425-750-2538 OWNER EMAIL: CARAABUCH@HOTMAIL.COM CONTRACTOR COMPANY NAME:STANLEY ACCESS TECHNOLOGIES WA STATE CONTRACTOR LICENSE#(REQUIRED):STAN LAT845B 1 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 55736 CONTRACTOR ADDRESS: sTREET4433 Russell Rd CITY Mukilteo STATE WA zIP 98275 CONTRACTOR PHONE:425-868-0499 CONTRACTOR EMAIL:IUke.norris@Sbdir1C.com PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) TIM'S BIKE SHOP OWNER CONTACT NAME: CONTACT PHONE:4253443907 JAS O N H I ESTER CONTACT EMAIL:JAY@TIMSBIKESHOP.COM BUILDING INFORMATION VALUATION OF WORK:$8,075.00 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:BIKE SHOP - SALES AND SERVICE PROPOSED USE OF BUILDING:SAME HEAT SOURCE: ❑✓Gas ❑Electric ❑Other BUILDING TYPE: ❑SER ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): El 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:$8 075 STANLEY ACCESS TECHNOLOGIES TO REPLACE EXISTING FRONT DOOR WITH AUTOMATIC DOOR. ACKNOWLEDGEMENT:/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# Z /0 — 0 r5 10/05/2021 f�J