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BING PERMIT APPLICATOV <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 1 (E) everetteps@everettwa.gov I (W) everettwa.gov/permits <br />(Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: STREET 920 MILLWRIGHT LOOPS PARCEL #: FISHERMAN'S HARBOR COMMERCIAL DEVELOPMENT PARCEL Al7 <br />CITY EVERETT STATE WA ZIP 98201 <br />SUITE/UNIT #: N/A FLOOR #: NSA ADDITIONAL LOCATION INFORMATION (if applicable): Port of Everett Building'AlT <br />TENANT/BUSINESS NAME (if non-residential): Bellingham Yachts <br />LEGAL DESCRIPTION for new construction: Short Plat/subdivision: N/A Lot No.: N/A (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: BELLINGHAM YACHTS (CONTACT: HEATHER OUILETTE) <br />OWNER MAILING ADDRESS: STREET 1801 ROEDER AVENUE, SUITE #174 <br />CITY BELLINGHAM STATE WA ZIP 98225 <br />OWNER PHONE: 360.671.0990 <br />OWNER EMAIL: sales@bellinghamyachts.com <br />CONTRACTOR COMPANY NAME: TBD - contractor to be selected. <br />WA STATE CONTRACTOR LICENSE #(REQUIRED): <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): <br />CONTRACTOR ADDRESS: STREET <br />CITY STATE ZIP <br />CONTRACTOR PHONE: <br />CONTRACTOR EMAIL: <br />PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑✓ OTHER (Please Specify) DESIGN FIRM (CUSHING TERRELL) <br />CONTACT NAME: <br />Rei Karasawa <br />CONTACT PHONE: 20\6.331.4719 <br />CONTACT EMAIL: reikarasawa@cushingterrell.com <br />BUILDING INFORMATION <br />VALUATION OF WORK: $ 50,000 <br />ASSOCIATED LAND USE PROJECT # (if applicable): N/A <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: BUSINESS (GROUP B) <br />PROPOSED USE OF BUILDING: BUSINESS (GROUP B) <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 - <br />'TENANT IMPROVEMENT WORK FOR AN OFFICE SPACE IN A COMMERCIAL <br />BUILDING. SCOPE OF WORK INCLUDES INSTALLATION OF NEW INTERIOR <br />PARTITION WALLS, FINISHES, DOOR. ASSOCIATED MECHANICAL AND <br />ELECTRICAL WORK TO BE UNDER SEPARATE PERMITS. <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. / am the owner, or / 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 />,� ... <br />Rei Karasawa o -- ---- a--^--- 6/15/2022 <br />Owner/Authorized Agent Signature Date <br />City of Everett Official Use Only <br />PERMIT # t) Z D &� <br />(Revised 21812021) <br />Z <br />