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

NMI • 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 Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1 01 15 Holly Dr PARCEL#: c,n Everett STATE WA ZIP 98204 SUITE/UNIT#: Building j(V FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):011n Fields Apartments LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Olin Fields Owner LLC OWNER MAILING ADDRESS: STREET 701 5th Ave , Suite 5700 cmy Seattle STATE WA ZIP 98104 OWNER PHONE:509-833-6657 OWNER EMAIL: CodyJ@secprop.com CONTRACTOR COMPANY NAME:Keck General Construction rQ WA STATE CON TRACTOR LICENSE#(REQUIRED):CCKECKGGC855RW CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): �6g95� CONTRACTOR ADDRESS: STREET17311 135th Ave NE Suite B400 CITY Woodinville STATE WA ZIP 98072 CONTRACTOR 'HONE:425.23 1--7004 CONTRACTOR EMAIL:Shane@keCkgC.corn PRIMARY CONTACT: E7 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-731-7004 Shane Keck CONTACT EMAIL:shane@keckgc.com BUILDING IINFORMATION VALUATION OF WORK:$1, o •48—*6/ 70 6 n 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 SJILDI G:'\ill ti Family Housing PROPOSED uSi_OF i3UU LDiNGNiUitl Family Housing HEAT SOURCE: ❑Gas ❑Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑✓Multi-Family-#Units:352 ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check a!!that apply): ENew Construction ❑Addition ERemodel ERepair ❑T.l. ❑Change of Use ❑Modular ❑Po-table n -roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK: 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# ),a © 7- L e 7 Shane-�.� 7/25/22 16, Owner/Authorized Agent Signature Date (Revised 4/21/2022)