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5901 23RD DR W ZAP ENERGY 2023-10-23
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5901 23RD DR W ZAP ENERGY 2023-10-23
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10/23/2023 9:42:57 AM
Creation date
9/8/2023 12:05:46 PM
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Address Document
Street Name
23RD DR W
Street Number
5901
Tenant Name
ZAP ENERGY
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134DING PERMIT APPLICATION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <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)425-257-8810 I(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 5901 23rd DR.W. PARCEL#: 011185-000-002-00 <br /> CITY EVERETT STATE WA ZIP 98203 <br /> SUITE/UNIT#: 10o FLOOR#: 1 ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANT/BUSINESS NAME(if non-residential):ZAP ENERGY <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:SEAWAY CORPORATE LOT 3C <br /> OWNER MAILING ADDRESS: STREET 4932 NE 97TH ST. <br /> CITY SEATTLE STATE WA ZIP 98115 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR COMPANY NAME: 71` CO ODApp. IDS. C. <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED)I COOL ew& CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 5-3— / ate <br /> CONTRACTOR ADDRESS: STREET 506 G SOS �'. (,O1 <br /> CITY 0(/lf%.4('J (V pI STATE �11- ZIP 9/ L 2 <br /> CONTRACTOR PHONE:-SGjti—7 g 7- ca. 3 73 CONTRACTOR EMAIL: LI c p11' -t`C 4Q, /lc 5 G � <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: $20,000 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:office/warehouse <br /> PROPOSED USE OF BUILDING:same plus new area for workshop <br /> HEAT SOURCE: ❑Gas ❑Electric ❑Other <br /> BUILDING TYPE: ESFR ❑Townhouse EDuplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure <br /> TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair ❑✓T.I. ❑Change of Use <br /> EModular ❑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: Construction of load-bearing and non-load-bearing interior partition walls and hard-lid <br /> ceiling; installation of doors/frames to new rooms. <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 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> Digitally signed by Sandra Higgins <br /> DN:GUS,E-sandra@caparcng anp.cam. -Capital Architects Group, PERMIT#ON5,,,,,a Higgins /� A�/®— D 75 <br /> Sandra Higgins°°ad�E°eratl.'A'A /r\//V7/y) <br /> neas°n:t am a°Promng n,ts d«vmem <br /> DPmad Info:s2018.17,28-07gr°uPmm <br /> Date'2022.10.2018:f)29-OT00 <br /> Owner/Authorized Agent Signature Date (Revised 4/21/2022) <br />
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