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BWDING PERMIT APPLICATI&N <br />CITY OF EVERETT PERMIT SERVICES <br />EVERETT 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) PermitServices@everettwa.gov I (W) everettwa.gov/permits <br />(Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: STREET 607 EVERETT MALL WAY SOUTH PARCEL #: 28051800304000 <br />CITY C V C 1i C I 1 STATE V V N ZIP 98208 <br />SUITE/UNIT #: 101 FLOOR #: 1 ADDITIONAL LOCATION INFORMATION (if applicable): SW CORNER AT... ENTHv <br />TENANT/BUSINESS NAME (if non-residential): ZOOM ROOM -DOG OBEDIENCE AND AGILITY <br />LEGAL DESCRIPTION for new construction: Short Plat/subdivision: SEE SHEET Tt.o FOR FULL DESC. Lot No.: (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: NW PRIME PROPERTIES, INC <br />OWNER MAILING ADDRESS: STREET 6947 COAL CREEK PARKWAY SE #69 <br />`I <br />CITY Nr_VVI�HJ I ILL STATE VVH ZIP `I000y <br />OWNER PHONE: <br />OWNER EMAIL: <br />CONTRACTOR COMPANY NAME:�j`an� <br />WA STATE CONTRACTOR LICENSE #(REQUIRED):?3LaCWAM5 hfirrY <br />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) /1Rl.ifl I I Gl.i I <br />CONTACT NAME: <br />VICKI SOMPPI <br />CONTACT PHONE: 206-31 0_0827 <br />CONTACT EMAIL:VickISIwWOikr)lacearchitecture-com <br />BUILDING INFORMATION <br />VALUATION OF WORK: $ 45,000 <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: office <br />PROPOSED USE OF BUILDING: Office <br />HEAT SOURCE: ❑Gas ❑Electric 00thertiAlIbLil ly kUI, <br />BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family - # Units: OCommercial ❑Accessory Structure <br />TYPE OF PROJECT (check all that apply) : ❑New Construction ❑Addition ❑Remodel ❑Repair ZT.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: SCOPE OF WORK INCLUDES MINOR WALL AND SHOWER ROOM DEMOLITION, PROVIDING NEW <br />INTERIOR PARTIAL HEIGHT CONC. OR CMU WALL AT 40" FOR THE DOG TRAINING ROOMS AND <br />FULL HEIGHT WALLS AND DOORS FOR THE REMODELED RESTROOMS AND STAFF LOUNGE. <br />THERE MAY BE SOME MINOR LIGHT RELOCATIONS FOR THE RESTROOM AND LOUNGES. NO <br />LIGHT CHANGES AREA ANTICIPATED IN THE RETAIL AREA OR THE DOG TRAINING ROOMS. <br />LIGHTING CHANGES, IF NEEDED WILL BE DONE UNDER THE ELECTRICAL PERMITS. <br />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 <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 l 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 />Digitally signed by Vicki Somppi <br />acea ie com, <br />O=WorkplaceArchitecture. OU=Workplace10.20.20G2Vicki SomppiDArNcWhBCe=nUuSr.e,EC=Ni-dVi@ckiSomppi Date: 2022.10.28 09:39:50-07'00' <br />Owner/Authorized Agent Signature Date <br />City of Everett Official Use Oniy <br />PERMIT # 52,111 06 <br />(Revised 412112022) / <br />