1800 41ST ST 2023-04-10 - Laserfiche WebLink

• i 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)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1800 41 st PARCEL#: 00620800000002 CITY Everett STATE wa ZIP 98201 SUITE/UNIT#: S310 FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):VOA Offices LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:1800 41ST STREET LLC OWNER MAILING ADDRESS: STREET 1800 41ST ST STE 210 CITY everett STATE WA ZIP 98203 OWNER PHONE: OWNER EMAIL: CONTRACTOR COMPANY NAME:TBD (�y111/1, V'C I � l(rZ'� )11/L h (Jr /AA Mr) 142 O ii L CO WA STATE CONTRACTOR LICENSE#(REQUIRED): COM tC$011VIWICITY OF EVERETT BUSINESS LICENSE#(REQUIRED): .1 e g 9 CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: ❑OWNER El CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:(425) 252 2153 Paul Douglas CONTACT EMAIL:Paul@2812architecture.com BUILDING INFORMATION VALUATION OF WORK:$ (o2.c',ooa 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 PROPOSED USE OF BUILDING:business HEAT SOURCE: ❑Gas ❑Electric ElOther BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Change of Use ❑Modular EPortable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK:REVISE INTERIOR OFFICE AREA ON MAIN FLOOR OF EXISTING BUILDING.. AREA OF T.I. = 9,685 SF. 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 Contracto Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only _i .' PERMIT# 13 Z l O °I Owner/Authr .. t :ig lature Date (Revised 2/8/2021)