3620 36TH PL NE 2023-07-31 - Laserfiche WebLink

aim BADING PERMIT APPLICATI 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)425.257.88101(E)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 3620 36th PI NE PARCEL#: 29050500200300 ci-ry EVERETT STATE WA DID 98201 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):CEDAR GROVE COMPOSTING LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:CEDAR GROVE COMPOSTING INC. OWNER MAILING ADDRESS: STREET 7343 E. MARGINAL WAY S. cm,' SEATTLE STATE WA zip 98108 OWNER PHONE:206-498-8015 OWNER EMAIL: NICKM@CGCOMPOST.COM CONTRACTOR COMPANY NAME:LOTH INDUSTRIES, INC WA STATE CONTRACTOR LICENSE#(REQUIRED):LOTHIII904NR CITY OF EVERETT BUSINESS LICENSE#(REQUIRED)!, CONTRACTOR ADDRESS: STREET6620 E. LOWELL LARIMER RD cry SNOHOMISH STATE WA zip 98296 CONTRACTOR PHONE:425-418-5897 CONTRACTOR EMAIL:LOTHINDUSTRIES@HOTMAIL.COM PRIMARY CONTACT: El OWNER C CONTRACTOR LI OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-418-5897 GAVI N LOTH CONTACT EMAIL:LOTHINDUSTRIES@HOTMAIL.COM BUILDING INFORMATION VALUATION OF WORK: $30.- 0 S 000 ASSOCIATED LAND USE PROJECT#(if applicable): rOV I 2I-' 0 Valuation shall include the prevaj fair market value of all Iabdlr.materials,and equipment needed to complete the work,whether actually paid or not.) EXISTING USE OF BUILDING:EQUIPMENT MAINTENANCE BUILDING PROPOSED USE OF BUILDING:EQUIPMENT MAINTENANCE BUILDING HEAT SOURCE: ❑Gas LiElectric ❑Other BUILDING TYPE: ❑SFR ._'Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: [ICommercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): IiINew Construction ❑Addition ❑Remodel L Repair ❑T.I. LJChange of Use ElModular EPortable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK: BUILD A 8,000 SF EQUIPMENT MAINTENANCE BUILDING NEAR CURRENT SHOP BUILDING 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!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 Official Use Only PERMITgin l Nicholas Malshuk "tea"'s'�""°°"��'�°°" aaw.ao�za� e�ze �oa Owner/Authorized Agent Signature Date (Revised 2/8/2021)