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BLeDING PERMIT APPLICATION LE'celCITY OF EVERETT PERMIT SERVICESEVERETT SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements and er of ..'es required WASHINGTON then drop off completed application plus all required submittal documents to 3200 Ce•-r reet loilr ltalfp,,CONTACT INFORMATION:(P)425-257-8810 I(E)PermitServices@everettwa.gov I(W)eyeretta.gov/permit(Blue or Black Ink Only Please) PROJECT SITE INFORMATION ll..Pe OF EVEnit RPROJECT SITE ADDRESS: STREET 2712 HEWITT AVE PARCEL#: 005936-693-003-UQ% Sert.'Ciro EVERETT STATE WA zIP 98201 <br /> SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANT/BUSINESS NAME(if non-residential):BGG ENTERPRISE, LLC <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal de <br /> CONTACT INFORMATION <br /> OWNER NAME:GLOBODYNE INDUSTRIES <br /> OWNER MAILING ADDRESS: STREET 3007 EVERETT AVE <br /> cIT, EVERETT STATE WA ZIP 98201 <br /> OWNER PHONE:425-879-3437 OWNER EMAIL: brianbodge@msn.com <br /> CONTRACTOR COMPANY NAME:OWNER etc Bo:La..,, • <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> PRIMARY CONTACT: El OWNER ❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-879-3437 <br /> Brian Bodge CONTACT EMAIL:brianbodge@msn.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK $11,000 ASSOCIATED LAND USE PROJECT#(if applicable): <br /> (Valuation shall include the pre iling fair ma value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) <br /> EXISTING USE OF BUI ING• TAIL - MERCANTILE GROUP M <br /> PROPOSED USE OF BUILDING:RETAIL - MERCANTILE GROUP M <br /> HEAT SOURCE: ❑✓Gas ❑✓Electric ElOther <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:Remove four existing damaged windows and replace with four new windows per regular maintenance. <br /> Legal Description: LOTS 3, 4 AND 5, BLOCK 693, SWALWELLS 2ND ADDITION TO THE CITY OF <br /> EVERETT, ACCORDING TO THE PLAT THEREOF RECORDED IN VOLUME 3 OF PLATS, PAGE 11, <br /> RECORDS OF SNOHOMISH COUNTY, WASHINGTON. SITUATE IN THE COUNTY OF SNOHOMISH, <br /> STATE OF WASHINGTON. <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 /> PET 1) V ro40 <br /> Owner/Authorized Agent Signature Date (Revised 4/21/2022) <br />