1525 75TH ST SW COMCAST 2023-06-26

• Nom BUILDING PERMIT APPLICATION CITY OF EVERE1T PERMIT SERVICES EVERE T T SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements and number of copies required for review, WASH INGTON 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 Mk Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1525 75th SW PARCEL#: 2883339 clrr Everett STATE WA zip 98203 SUITE/UNIT#: FLOOR# ADDITIONAL LOCATION INFORMATION(if applicable): TENANT/BUSINESS NAME(if non-residential):COmCaSt LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Johnson Properties I ,LLC OWNER MAILING ADDRESS: smut PO Box 5253 cnv Everett STATE WA zip 98206 OWNER PHONE:425 252 5202 (OWNER EMAIL: CONTRACTOR COMPANY NAME:Applied Handling NW — A—G® WA STATE CONTRACTOR LICENSE#(REQUIRED): 0 A 1 L;r>< C t „ITY OF EVERETT BUSINESS LICENSE#(REQUIREC ?-7-7 c, CONTRACTOR ADDRESS: STREET8825 So. 184th st. cnv Kent STATE WA ZIP CONTRACTOR PHONE:206-819-7139 (CONTRACTOR EMAIL:TOmg©appliednw.COm PRIMARY CONTACT: CI OWNER ❑✓ CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-819-7139 Tom Gaston CONTACT EMAIL:tomg@appliednw.com BUILDING INFORMATION VALUATION OF WORK:$$18,984 ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shell Include the prevailing fair market value of all labor,materials,and equ pment needed to complete the work,whether actualy paid or not) EXISTING USE OF BUILDING:Office B,- Storage S-1 PROPOSED USE OF BUILDING:Same HEAT SOURCE: ❑Gas ❑Electric DOther BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex DADU ❑Multi-Family-#Units: IJCommerciai ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Change of Use ❑Modular ❑Portable ORe-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑✓RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other._ DESCRIPTION OF WORK:Install 16 bays of Pallet Racking ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is hue and correct Work done pursuant to this permit must comply with current federal,elate,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/comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett O/Sciar Use Only: PERMIT# k®� ��o liThr--) -�2-� 1/ OwrwNAuthodzed Agent Signature Date (Revised 2812021) lz