1525 75TH ST SW CASCADE COFFEE 2023-06-26

B LDING PERMIT APPLICATIIIN 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 1525 75th St SW PARCEL#: N/A tiny Everett STATE WA zip 98203 SUITE/UNIT#: 100 FLOOR#: 1 ADDITIONAL LOCATION INFORMATION (if applicable):N/A TENANT/BUSINESS NAME(if non-residential):CaSCade Coffee LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Warehouse Lot No.:N/A (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Johnson Home & Properties (Scott Johnson) OWNER MAILING ADDRESS: STREET P 0 Box 13085 crrr Everett STATE WA ZIP 98206 OWNER PHONE:425-508-4670 OWNER EMAIL: scott@jflp.com CONTRACTOR COMPANY NAME:NOrthwest Handling Systems WA STATE CONTRACTOR LICENSE#(REQUIRED):CC NORTHWH 275JF CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 011598 CONTRACTOR ADDRESS: STREET 1 100 SW 7th St. cITy Renton STATE WA ZIP 98057 CONTRACTOR PHONE:425-919-3597 CONTRACTOR EMAIL neilm@nWhs.com PRIMARY CONTACT: ❑OWNER 14 CONTRACTOR 1Z OTHER(Please Specify) Dennis Stickles 425-290-5245 CONTACT NAME: CONTACT PHONE:425-919-3597 Dennis Stickles CONTACT EMAIL:neilm©nwhs.com BUILDING INFORMATION -VALUATION OF WORK:$65,000 ASSOCIATED LAND USE PROJECT#(if applicable):N/A (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:WarehOUse PROPOSED USE OF BUILDING:WarehOUSe HEAT SOURCE: ©Gas ❑Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADI) ❑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 LiTank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above grcund) !_✓]Other:Work Platform DESCRIPTION OF WORK:Work platform over equipment. Used to hold rolling hoppers to feed coffee to a packaging line. 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 t 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 2966.200A WAC. City of Everett Official Use Only <-� 6//A Z^LZ LERMIT# t?,U O _ 077 Owner/Authorized GDate/G!/ (Revised 4/21/2022 t�^/ Owner/Author¢ed Agent )