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BOLDING PERMIT APPLICAI&N <br />CITY OF EVERETT PERMIT SERVICES <br />EVERETTSUBMITTAL 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 1 (E) PermitServices@everettwa.gov I (W) everettwa.gov/permits <br />(Blue bi Black Ink Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: STREET 2910 Colby PARCEL #: 00439168203100 <br />crr Everett STATE WA z,, 98201 <br />SUITE/UNIT #: n/a FLOOR #: n/a ADDITIONAL LOCATION INFORMATION (if applicable): <br />TENANTIBUSINESS NAME (if non-residential):Skotdal Real Estate <br />LEGAL DESCRIPTION for new construction: Short Plattsubdivision: n/a Lot No.: n/a (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME:Skotdal Real Estate/Craig Sanderson <br />OWNER MAILING ADDRESS: STREET PO Box 5267 <br />crry Everett STATE WA zip 98206 <br />OWNER PHONE:425-508-0413 <br />OWNER EMAIL: Cralg.sanderSOn@skotdal.com <br />CONTRACTOR COMPANY NAME:Skotdal Real Estate <br />WA STATE CONTRACTOR LICENSE #(REQUIRED): n/a <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): n/a <br />CONTRACTOR ADDRESS: sTREE1`1 604 Hewitt Ave, Suite 200 <br />clTv Everett STATE WA zIP 98201 <br />CONTRACTOR PHONE: n/a <br />CONTRACTOR EMAIL nIa <br />PRIMARY CONTACT: El OWNER ❑CONTRACTOR , ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />Craig Sanderson <br />CONTACT PHONE:425-508-0413 <br />CONTACT EMAIL: craig.sanderson@skotdal.com <br />BUILDING INF6RMA*$014 <br />VALUATION OF WORK: $175,000 1ASSOCIATED 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: Commercial Office <br />PROPOSED USE OF BUILDING: Commercial Office <br />HEAT SOURCE: ❑Gas ❑Electric ❑Othern/a <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: Replace stair in -kind <br />DESCRIPTION OF WORK: Replace existing exterior egress stair in -kind, type, size and location. <br />ACKNOWLEDGEMENT. 1 have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply wan <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 authonz under any circumstance. 1 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 co ply with the State Contrac Law 18.27 RCW and 296.200A WAC. <br />City of Everett Official Use Only <br />J/ 06.24.22 PERMIT# f <br />Z 206 _©6 <br />O ne / ut ized Agent Signature Date (Revised 412112022) I <br />�Z <br />