2431 BROADWAY SUMMIT REHABILITATION 2023-10-20

Iltitr EVERETT WASHINOTON BUILDING PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, then drop off completed application plus all required submittal documents to 3200 Cedar Street2nd Floor Intake Drop Box. CONTACT INFORMATION: (P) 425-257-88101 (E) PermitServices@everettwa.gov I (Wp everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION - PROJECT SITE ADDRESS: STREET 2431 Broadway PARCEL #: cm Everett STATE WA 7JP 98201 SUITEIUNIT#: FLOOR#:1 ADDITIONAL LOCATION INFORMATION (if applicable):oldmonytreelocalion TENANTIBUSINESS NAME (if non-residenliai):Summit Rehinblitalon LEGAL DESCRIPTION for hew construction: Short Platisubdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:katsam LLC OWNER MAILING ADDRESS: STREET 6720 Fort Dent Way # 230 CRY Seattle STATE WA ZIP 98188 OWNER PHONE: OWNER EMAIL: CONTRACTOR COMPANY NAME: Color and Arches LLC WA STATE CONTRACTOR LICENSE#(REQUIRED): CO LORAC906R7 ICITY OF EVERETT BUSINESS. LICENSE#(REQUIRED): 64195 CONTRACTOR ADDRESS: STREET7625 172nd st SE ctry Snohomish STATE WA ZIP 98296 CONTRACTOR PHONE:4257738949 1CONTRACTOR EMAIL:kellylovelace@colorandarches.com PRIMARY CONTACT: DOWNER ❑✓ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: Kelly Lovelace CONTACT PHONE:4257738949 CONTACT EMAIL:kellylovelace@COlorandarches.com BUILDING INFORMATION VALUATION OF WORK: $55,000.00 1ASSOCIATED LAND USE PROJECT#(if applicable); (Valuation shall include the prevailing fair market value of all labor, matenas, and equipment neaded to complete the work, whether actually paid or not.) EXISTING USE OF BUILDING: PT Clinic PROPOSED USE OF BUILDING: PT Clinic HEATSOURCE: ❑Gas ❑✓Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Fam)ly - # 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 ❑ExtedorAlteration ❑Tank (above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank (above ground) ❑Other: DESCRIPTION OF WORK:Car Ran through the store front and caused a lot of dammage, so we need to repair and build anew desk ACKNOWLEDOEMENT 1 have reviewed this application and coegrm 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 flat be authorized in writing from the Building Offic/al 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 I comply with the State Contractors Law 18.27 ROW and 298.200A WAC. City oJfEverett Official Use Only PEM Owner/Authorized Agent Signature Date (Revised 412112022)