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•.DING PERMIT APPLICAT•N <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)PermitServices@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: sTREET 1205 Craftsman way ste M'I 1 2,VA 9 PARCEL#: 29051800210000 <br /> crry everett STATE wa ZIP 98201 <br /> SUITE/UNIT#: 100 FLOOR#:1 ADDITIONAL LOCATION INFORMATION(if applicable): <br /> TENANT/BUSINESS NAME(if non-residential):AniSOptera Spa PLLC <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:The Port of Everett <br /> OWNER MAILING ADDRESS: STREET 1205 Craftsman Way, Suite 200 <br /> cm, Everett STATE wa ZIP 98201 <br /> OWNER PHONE:425-259-3164 OWNER EMAIL:tara@portofeverett <br /> CONTRACTOR COMPANY NAME:Thomhi1I Custom Homes& Remodels <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED)-12320001 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):65071 <br /> CONTRACTOR ADDRESS: sTREEr12406 10th St ne <br /> CITY lake stevens STATE wa ZIP 98258 <br /> CONTRACTOR PHONE360-201-3193 CONTRACTOR EMAIL:thOrnhilljk@gmail.Com <br /> PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME�eremy thornhill CONTACT PHONE:360-201-3193 <br /> CONTACT EMAIL:(hornhilljk@gmail.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK:$33,105.71 (ASSOCIATED LAND USE PROJECT#(if applicable): <br /> (Valuation shall include the prevailing fair market value of all tabor,materials,and equipment needed to complete the work,whether actually paid or not) <br /> EXISTING USE OF BUILDING:Office <br /> PROPOSED USE OF BUILDING spa <br /> HEAT SOURCE: ['Gas ❑✓Electric ❑Other <br /> BUILDING TYPE: ❑SFR DTownhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: OCommercial DAccessory Structure <br /> TYPE OF PROJECT(check all that apply): DNew Construction ❑Addition ❑Remodel DRepair ❑T.I. ✓❑Change of Use <br /> ❑Modular DPortable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure <br /> ❑Fence over 7ft high DRackStorage DPool/Hot Tub DTank(above ground) ❑Other <br /> DESCRIPTION OF WORK:build temperary walls for spa use. paint wals and install new desk install. demolition of <br /> free standing non permanet old desk. blue lines on plains are temperary walls being <br /> built. ( 9ft walls ) barn doors inbetween spa rooms and ada doors for room entrys. only <br /> demolition being performed is taking desk out of room and desposing of. no structual <br /> demolition will be taking place. <br /> ACKNOWLEDGEMENT::I have reviewed this application and confirm the infomration contained herein is the 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 /> Bulking Official before being authorized under any circumstance.I am the owner,or lam 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 /> ��� ,..�Br��� 09/25/22 PERMIT# <br /> 1` <br /> -82210'019- <br /> Owner/Authorized Agent Signature Date (Revised 4/21/2022) <br /> 14 <br />