10115 HOLLY DR BLDG T OLIN FIELDS APTS 2023-04-07

• 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)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Ei ack Ink Only Please) PROJECT SIT7 INFORMATION PROJECT SITE ADDRESS: STREET 10115 Holly Dr PARCEL#: clTy Everett STATE WA ZIP 98204 SUITE/UNIT#: Building er FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BiiSi ESS NAME(if non-residential):Olin Fields Apartments LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NANME:Olin Fields Owner LLC OWNER MAI INO.ADDRESS: STREET 701 5th Ave , Suite 5700 clT, Seattle STATE WA ZIP 98104 OWNER PHONE:509-833-6657 OWNER EMAIL: CodyJ©secprop.com CONTRACTOR COMPANY NAME:Keck aeck Genera! Construction WA STATE CONTRACTOR LICENSE#(REQUIRED):CCKECKGGC855RW CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 75-61. O�0ja CONTRACTOR ADDRESS: STREET1731 1 135th Ave NE Suite B400 CITY Woodinville STATE WA ZIP 98072 CONTRACTOR PI ONE:425-23€ 7004 CONTRACTOR EMAIL:shane@keckgC.com PRIMARY CONTACT: ❑OWNER ID CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-731-7004 ShaneKeck CONTACT EMAIL:shane@keckgc.com BUILDING INFORMATION VALUATION OF WORK:¢v517977 6I 774 615' ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall i .'..de the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) EXISTING USE OF RJILDI\G:MU ti Family Housing PROPOSED ,MUl ti Family Housing HEAT SOURS'_: Z EGas Electric ❑Other BUILDING TYPE: ❑SFR 0 T ewnhouse ❑Duplex EADU [✓IMulti-Family-#Units:352 ❑Commercial ❑Accessory Structure TYPE OF PRCJE+ T(check all that apply): ❑New Construction ❑Addition ERemodel ❑Repair ❑T.I. ❑Change of Use EModular ❑Poi to b!e -i Cor ❑Exterior Alteration ETank(above ground) EAccessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCR!PT OY CF WOR:(: remove and replace roof shingles with like and kind material 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 PERMIT# Ski 7/25/22 g a pC° O ?— Owner/Authorised Agent Signature Date (Revised 4/21/2022) bZ