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FOILDING PERMIT APPLICA N <br />CITY OF EVERETT PERMIT SERVICES <br />EVERETT <br />SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, <br />WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. <br />CONTACT INFORMATION: (P) 425.257.8810 1 (E) everetteps@everettwa.gov I (W) everettwa.gov/permits <br />(Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: STREET 10312 EVERGREEN WAY PARCEL #: 00535200001001 <br />CITY EVERETT STATE WA ZIP 98204 <br />SUITE/UNIT #: FLOOR #: ADDITIONAL LOCATION INFORMATION (if applicable): <br />TENANT/BUSINESS NAME (if non-residential): SONIC DRIVE-IN <br />LEGAL DESCRIPTION for new construction: Short Plat/subdivision: LOTS 10.11.12 of OLIVIA PARK DIVISION' Lot No.: 1 (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: SERJ DRIVE-INS WASHINGTON <br />OWNER MAILING ADDRESS: STREET 1500 EAST KATELLA AVENUE #5 <br />CITY ORANGE STATE CA ZIP 92867 <br />OWNER PHONE: 657-223-9133 <br />[OWNER EMAIL: jasmin@serjgroup.com <br />CONTRACTOR COMPANY NAME: TO BE DETERMINED <br />WA STATE CONTRACTOR LICENSE #(REQUIRED): <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): <br />CONTRACTOR ADDRESS: STREET <br />CITY STATE ZIP <br />CONTRACTOR PHONE: <br />CONTRACTOR EMAIL: <br />PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ✓❑ OTHER (Please Specify) ARCHITECT <br />CONTACT NAME: <br />E R I C KO C H <br />CONTACT PHONE: (425) 636-8006 x 105 <br />CONTACT EMAIL: eric@padgi.com <br />BUILDING INFORMATION <br />VALUATION OF WORK: $ 850,000 <br />ASSOCIATED LAND USE PROJECT # (if applicable): <br />(Valuation shall include the prevailing fair market value of all labor, materials, and equipment needed to complete the work, whether actually paid or not.) <br />EXISTING USE OF BUILDING. NA <br />PROPOSED USE OF BUILDING: FAST FOOD RESTAURANT <br />HEAT SOURCE: ✓❑Gas ❑Electric ❑Other <br />BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family - # Units: ✓❑Commercial ❑Accessory Structure <br />TYPE OF PROJECT (check all that apply) : ❑✓ New Construction ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Change of Use <br />❑Modular ❑Portable ❑Re -roof []Exterior Alteration ❑Tank (above ground) ❑Accessory Structure <br />❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank (above ground) ❑Other: <br />DESCRIPTION OF WORK: SINGLE STORY, 1464 S.F., SLAB -ON -GRADE, 2X6 WOOD FRAMED WALLS AND <br />WOOD ROOF JOISTS AND DECK. A TOTAL OF 17 PARKING STALLS PROVIDED, <br />8 STALLS UNDER A STEEL CANOPY STRUCTURE, A MASONRY DUMPSTER <br />ENCLOSURE AND LANDSCAPING. <br />ACKNOWLEDGEMENT: l have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with <br />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 <br />Building Official before being authorized under any circumstance. I am the owner, or 1 am authorized by the owner of this property to perform the work for which application is made. <br />and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />Eric Koch_�M'—� <br />Owner/Authorized Agent Signature <br />6/10/2021 <br />Date <br />City of Everett Official Use Only <br />PERMIT # cA­ 0 -2..,-3 <br />(Revised 21812021) <br />z <br />