6707 HARDESON RD UMBRA CUSCINETTI INC 2023-12-07

CSUIL_UI1VV rcrtivli i IMF- t— L.IN.or-t i Iv111 r • CITY OF EVERETT PERMIT SERVICES E • SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, wnsr+lrtcroN then drop off comuleted application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box, CONTACT INFORMATION: (P)425-257-8810 I (E)PermitServices@everettwa.gov I(W)everettwa.govlpermits Blue or Black Ink Only Please) PROJECT SITE INFORMATION >ROJECT SITE ADDRESS: STREET 6707 Hardeson Rd. PARCEL#: ciTY Everett, STATE WA zip 98203-7104 iUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): rENANTIBUSINESS NAME (if non-residential):Umbra Cuscinetti Inc. _EGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: UGI Holding OWNER MAILING ADDRESS: STREET 6707 Hardeson Rd am Everett STATE WA L1p 98203-7104 OWNER PHONE:425-205-5180 OWNER EMAIL: rrayburn©us.Umbragroup.com CONTRACTOR COMPANY NAME:Roofing Solutions NW LLC NA STATE CONTRACTOR LICENSE#(REQUIRED):R00FISN848PU CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): U7J7E067 CONTRACTOR ADDRESS: STREET1 071 3 S St S crTv Tacoma STATE WA ZIP 98444 CONTRACTOR PHONE:253-394-2252 CONTRACTOR EMAIL:alexg@roofingsolutionsnw.com PRIMARY CONTACT: ❑ OWNER Li CONTRACTOR ❑OTHER (Please Specify) CONTACT NAME: CONTACT PHONE:253-394-2252 Alex CONTACT EMAIL:alexg@roofingsolutionsnw.com BUILDING INFORMATION VALUATION OF WORK: $$347,539.50 ASSOCIATED LAND USE PROJECT#(if applicable): Valuation shall induce the prevailing fair market value of all labor,materials,and equipme it needed to complete the work.whether actually paid or not,) EXISTING USE OF BUILDING:Manufacturing PROPOSED USE OF BUILDING:ManUfaCturing HEAT SOURCE: ❑Gras ❑Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex EADU ❑Multi-Family-#Units: EjCommercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair ETD, ❑Change of Use ❑Modular EPortable DRe-roof ❑Exterior Alteration ETank (above ground) ClAccessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK:This will be a simple roof overlay with PVC Membrane ACKNOWLEDGEMENT:1 have reviewed this application and confirm 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 first be authorized in writing from the 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, and 1 comply with the State Contractors Law 18.27 RCW and 296,200A WAC. City of Everett Official tJse Only % 05/04/2023 PERMIT# Owner Authorized Agent Signature Date (Revised 4/2 1/2 0 2 2)