920 MILLWRIGHT LOOP S FREEDOM BOAT CLUB 2023-11-01

B LDING PERMIT APPLICATO EVERETT VERETT CITY OF EVERETT PERMIT SERVICES 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: STREETyM MILLWRIGHT LOOP N PARCEL#: 29051800210400,or A17 CITY EVERETT STATE WA zip 98201 SUITE/UNIT#: Suite 2 FLOOR#: 1 &2 ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):Freedom Boat Club LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Nick Hooge OWNER MAILING ADDRESS: STREET 2601 W Marina PI, Suite F CITY Seattle STATE WA ZIP 98199 OWNER PHONE:206.900.1291 OWNER EMAIL: nickh@freedomboatclub.com CONTRACTOR COMPANY NAME:TBD it ��IVJ)t W Its1/m/6 1 't Lv L L L WA STATE CONTRACTOR LICENSE#(REQUIRED):COMM ELL g 64m, _CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 211 gq CONTRACTOR ADDRESS: STREET T CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) Architect CONTACT NAME: CONTACT PHONE:425-252-2153 Adam Clark CONTACT EMAIL:adam@2812architecture.com BUILDING INFORMATION VALUATION OF WORK: $10,000 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:Business PROPOSED USE OF BUILDING:Business HEAT SOURCE: ❑Gas ❑Electric ❑Other 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 ❑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: REVISE INTERIOR OF OFFICE AREA ON MAIN FLOOR. AREA OF T.I. = 400 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 Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERM 102) OLK Owner/Authorized Agent S' nature Date (Revised 2/8/2021)