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B•DING PERMIT APPLICATiON <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)425-257-8810 (E)PermitServices@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 1710 W Marine View Drive. PARCEL#: 29051800400500 <br /> CITY Everett STATE WA Zip 98201 <br /> SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANT/BUSINESS NAME(if non-residential):SoUnd 2 Summit <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:Doug Milnor, Sound 2 Summit <br /> OWNER MAILING ADDRESS: STREET 1830 Bickford Ave #111 <br /> CITY Snohomish STATE WA Zip 98290 <br /> OWNER PHONE: OWNER . IL: doug@sound2summit.com <br /> CONTRACTOR COMPANY N il 4111 <br /> . <br /> WA STATE CONTRACTOR ICENSE#(REQUIRED): v Z4Qk ct I 'y,„ EVERETT BUSINESS LICENSE#(REQUIR ):(.c2�` tL.) <br /> CONTRACTOR ADDRESS: STREET I <br /> CITY ,� STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR, MAIL: <br /> PRIMARY CONTACT: ❑0 NER ❑CONTRACTOR 0 OTHER(Plea-e Specify) ARchitect <br /> CONTACT NAME: CONTAC PHONE:425.377.8786 <br /> Martin Reimers, Concept Arch. CONTACT EMAIL:mreimers@conceptarchitecture.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK:$120• v0 C10 (� ASSOCIATED LAND USE PROJECT#(if applicable): <br /> (Valuation shall include the prevai air market value of all labr materials,and equipment needed to complete the work,whether actually paid or not.) <br /> EXISTING USE OF BUILDING:New Building <br /> PROPOSED USE OF BUILDING:Brewery Tap Room <br /> HEAT SOURCE: ❑Gas ❑Electric ❑Other <br /> BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑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 /> ❑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:Tenant Improvement for brewery tap room in new building shell. <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 /> 4/28/22 PERMIT# 12) Zed 5 - 0 0 Z <br /> Owner/Authorized Agent Signature Date (Revised 4/21/2022) <br />