2825 COLBY AVE HERITAGE BANK 2023-04-06

Nim •ILDING PERMIT APPLICPOON 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 2831 Colby Ave 161,S CA \, AN(„ PARCEL#: 0149765 CITY Everett J STATE WA ZIP 98201 SUITE/UNIT#: FLOOR#: 1 ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):Heritage Bank LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Andrew Skotdal,Skotdal Real Estate OWNER MAILING ADDRESS: STREET 1602-1604 Hewett Ave,Suite 200 CITY Everett STATE WA ZIP 98201 OWNER PHONE:425.252.5400 OWNER EMAIL: andrew.skotdal@skotdal.com CONTRACTOR COMPANY NAME:Wilcox Construction WA STATE CONTRACTOR LICENSE#(REQUIRED):319 007 592 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 25559 CONTRACTOR ADDRESS: STREET234 5th Ave S CITY Edmonds STATE WA ZIP 98020 CONTRACTOR PHONE:425.774.4185 CONTRACTOR EMAIL:devangelisto@wilcoxconstruction.com PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR 0 OTHER(Please Specify) Architect CONTACT NAME: CONTACT PHONE:425.641.9200 Carrie Smith CONTACT EMAIL:carries@jpcarchitects.com BUILDING INFORMATION VALUATION OF WORK: $900,000 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:Business& Residential PROPOSED USE OF BUILDING:Business&Residential HEAT SOURCE: ❑Gas ❑Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑✓Multi Family-#Units:8 ❑✓Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑✓Remodel ❑Repair OT.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: Interior non-structural tenant improvement consisting of relocating LED light fixtures, new built offices, new casework and finishes. 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 M at Berg man Dateal2022.0713y1M40:35g0700' 7.13.22 PERMIT# VU1 - 0 r) :3 Owner/Authorized Agent Signature Date (Revised 4/21/2022) j j