2727 COLBY AVE EIGHT BALL CAFE 2023-04-06

ON' BDING PERMIT APPLICATI 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((E)everetteps@everettwa.gov((W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 2727 1/2 Colby Ave PARCEL#: 00439162501300 crry Everett STATE WA zip 98201 SUITE/UNIT#: FLOOR#: 1 ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):Eight Ball Cafe LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Sharon Wilcox OWNER MAILING ADDRESS: STREET 15811 60th Dr SE CITY Snohomish Swot WA zip 98296 OWNER PHONE:(360)420-2424 OWNER EMAIL: sharon.wilcox108@gmail.com CONTRACTOR COMPANY NAME:Tenant with Letter of Authorization from landlord WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: ❑OWNER LI CONTRACTOR ❑✓ OTHER(Please Specify) Tenant CONTACT NAME: CONTACT PHONE:(206)841-4070 Ra ch i d Ayou n i CONTACT EMAIL:8bceverett@gmail.com BUILDING INFORMATION VALUATION OF WORK:$12,000 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:Vacant PROPOSED USE OF BUILDING:Expanded seating for Eight Ball Cafe, LLC HEAT SOURCE: OGas ❑Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: lZlCommercial DAccessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair ❑✓T.1. ❑Change of Use ❑Modular ❑Portable DRe-roof DExterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high DRackStorage ❑Pool/Hot Tub ❑Tank(above ground) DOther: DESCRIPTION OF WORK: 2727 1/2 Colby will be annexed to 2727 Colby, which is currently being used as a restaurant/bar. The adjacent space will be connected to the existing restaurant through two (2) openings. The annexed space will serve as additional seating for Eight Ball Cafe. Replace the existing flooring. 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 8ui/ding Official before being authorized under any circumstance.lam the owner,or I am authorized by the owner of this property to perform the work for which application is made, td I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only J } PERMIT fl— O 3 er/Authorized Agent Signature Date (Revised 2/8/2021)