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BIDING PERMIT APPLICAT•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)425-257-3810 I(E)PermitServices@everettwa.gov 1(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 1410 80TH ST. SW PARCEL#: 01 0568001 001 00 <br /> SIT. EVERETT STATE WA ZIP 98201 <br /> SUITE/UNIT#: 1A FLOOR#: 1 ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANT/BUSINESS NAME(if non-residential):STERLING TELECOMMUNICATIONS & CONSTRUCTION <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:WRENCO PROPERTIES <br /> OWNER MAILING ADDRESS: STREET 1410 80TH ST. SW SUITE A <br /> CITY EVERETT STATE WA ZIP 98201 <br /> OWNER PHONE:(425) 361-7576 (Tenant) OWNER EMAIL: randyb@sterlingtc.com (Tenant) <br /> CONTRACTOR COMPANY NAME:STERLING TELECOM & CONSTRUCTION INC. <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):CC STERLLTC884C9 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 50469 <br /> CONTRACTOR ADDRESS: STREET802 134th St. SW Suite 110 <br /> clTy Everett STATE WA ZIP 98204 <br /> CONTRACTOR PHONE:(425) 361-7576 CONTRACTOR EMAIL:randyb@sterlingtc.com <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) ARCHITECT <br /> CONTACT NAME: CONTACT PHONE:425.317.8017 <br /> Sandra Higgins CONTACT EMAIL:Sandra@caparchgroup.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK: $50,000 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:Offices and warehouse <br /> PROPOSED USE OF BUILDING:no change <br /> HEAT SOURCE: ❑Gas ❑Electric ❑Other <br /> BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ElAccessory 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: 1 . Construction of new demising wall sections to reconfigure existing tenant spaces; <br /> 2. Demo existing toilet room walls and fixtures; <br /> 3. New toilet room walls and new lay fixtures; <br /> 4. New partition walls and doors for new Staff room; <br /> 5. New suspended grid ceiling w/ acoustical tiles; replace 2 existing light fixtures <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 I am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> DigNally signed by Sandra Higgins <br /> DN.D.DS,E=sandra@caparthg,onp.,gm.O.Dapi,al Arpbdams Grn,.p, PERMIT#CN=Sandra Higgins <br /> Sandra Higgins =� om= a ,;�feorom 9/27/22 `1,221,0 _G <br /> Daro 2ozzosz�os nsr-Oros <br /> Owner/Authorized Agent Signature Date (Revised 4/21/2022) / <br /> 12 <br />