9401 SHARON DR 2023-05-23 - Laserfiche WebLink

Elm rig BODING 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 9401 Sharon Dr. PARCEL#: 28041300300200 crr Everett STATE WA ZIP 98204 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Mukilteo School District#6 OWNER MAILING ADDRESS: STREET 9401 Sharon Dr. crn. Everett STATE WA ZIP 98204 OWNER PHONE:425-328-9812 OWNER EMAIL: gomezfd@mukilteo.wednet.edu CONTRACTOR COMPANY NAME:Moon Construction WA STATE CONTRACTOR LICENSE#(REQUIRED:,tY O C6 N) U N`(7 CITY OF EVERETT'BUSINESS LICENSE#(REQUIRED): 27364 CONTRACTOR ADDRESS: STREET19624 76th ave West Suite B c,T, Lynnwood STATE WA zip 98036-5843 CONTRACTOR PHONE:425-670-6704 CONTRACTOR EMAIL:moonconstruction@aol.com PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-328-9812 Cisco Gomez CONTACT EMAIL:gomezfd©mukilteo.wednet.edu BUILDING INFORMATION VALUATION OF WORK: $15,000 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:School District Busines Operations PROPOSED USE OF BUILDING:District and Business Office HEAT SOURCE: El Gas ❑Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): El New Construction ❑Addition ❑✓Remodel ❑Repair ❑T.I. ❑Change of Use ❑✓Modular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK:Disassembly of six (6) mondular movable non structural walls. Reassembly of two (2) walls using existing wall panel system. No structureal or egress changes. 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 10/31/2022 PERMIT# wner/Aut ed Agent Si ure / Date (Revised 4/21/2022) V Z