1205 CRAFTSMAN WAY ANISOPTERA SPA 2023-04-06

NINE 111.11 B.DING PERMIT APPLICATON CITY OF EVERETT PERMIT SERVICES EV E R ET T 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)425-257-88101(E)PermitServices@everettwa.gov 1(W)everettwa.govlpermits (Blue or Black ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: sTREEr 1205 Craftsman way ste PARCEL#: 290518002f0000 crry everett STATE wa ZIP 98201 SUITE/UNIT#: 100 FLOOR#:1 ADDITIONAL LOCATION INFORMATION(if applicable): TENANT/BUSINESS NAME(if non-residential)AniSOptera Spa PLLC LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:The Port of Everett OWNER MAILING ADDRESS: STREET 1205 Craftsman Way, Suite 200 cm, Everett STATE wa zip 98021 OWNER PHONE:425-259-3164 OWNER EMAIL:tara@portofeverett CONTRACTOR COMPANY NAME:Thornhill Custom Homes& Remodels WA STATE CONTRACTOR LICENSE#(REQUIRED)$8-12320001 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):65071 CONTRACTOR ADDRESS: STREEr12406 10th St ne CITY lake stevens STATE wa Z,P 98258 CONTRACTOR PHONE:360-201-3193 'CONTRACTOR EMAIL:thornhilljk@gmail.Com PRIMARY CONTACT: ❑OWNER ©CONTRACTOR ❑OTHER(Please Specify) CONTACT NAMEleremy thornhill CONTACT PHONE:360-201-3193 CONTACT EMAILlhornhilljk@gmail.Com BUILDING INFORMATION VALUATION OF WORK:$33,105.71 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:off ice PROPOSED USE OF BUILDING:SPa HEAT SOURCE: ['Gas ❑✓Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex DADU ❑Multi Family-#Units: ]]Commercial DAccessory Structure TYPE OF PROJECT(check all that apply): DNew Construction DAddition ❑Remodel ❑Repair ❑T.I. ❑✓Change of Use DModular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑PooUHat Tub ❑Tank(above ground) DOther: DESCRIPTION OF WORK:temperary walls for spa use. paint and install new desk install. demolition of old desk. p f © I 11 NOV 18 2022 _ CITY OF EVERETT el vi`,e , ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct.Work done pursuant to this perm vermlt S it 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 WAG. City of Everett Official Use Only Jerewc j T tomlii-L�. 09/25/22 PERMIT# Ovoter/Authorized Agent Signature Date (Revised 4/21/2022) -3/ 3