920 MILLWRIGHT LOOP S WATERLINE BOATS 2023-11-01

• • BUILDING PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES JCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, > off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. NFORMATION: (P) 425-257-8810 1 (E) Perm itServicesC(peverettwa.gov I (W) everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 920 MILLWRIGHT LOOP S PARCEL #: 29051800210400 clTY EVERETT STATE WA zip 98201 SUITE/UNIT #: TENANT 1 / 108 FLOOR #: 1 ADDITIONAL LOCATION INFORMATION (if applicable): A-17 TENANT/BUSINESS NAME (if non-residential):WATERLINE BOATS LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAMEMATERLINE BOATS OWNER MAILING ADDRESS: STREET BOATSHED clTY EVERETT STATE WA zip 98201 OWNER PHONE:425-231-0344 1OWNER EMAIL: gretchen@waterlineboats.com CONTRACTOR COMPANY NAME:NWQRD WA STATE CONTRACTOR LICENSE #(REQUIRED): NWQUAQR898JL ICITYOF EVERETT BUSINESS LICENSE #(REQUIRED): CONTRACTOR ADDRESS: STREET 15419 S R9 cITY SNOHOMISH STATE WA ZIP 98296 CONTRACTOR PHONE:36O-668-0191 CONTRACTOR EMAIL:TEF'RY@NWQRD.COM PRIMARY CONTACT: ❑ OWNER ❑✓ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: TERRY W I L L EY CONTACT PHONE: 425-422-4759 CONTACT EMAIL: TERRYCo)NWQRD.COM BUILDING INFORMATION VALUATION OF WORK: $56,000 ASSOCIATED LAND USE PROJECT # if applicable): (Valuation shall include the prevailing fair market value of all labor, materials, and equipment needed to complete the work, whether actually paid or not.) EXISTING USE OF BUILDING: NEW CONSTRUCTION PROPOSED USE OF BUILDING:OFFICE HEAT SOURCE: ❑Gas ❑Electric ❑✓ OtherHEAT PUMP BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family - # Units: ❑✓ Commercial ❑Accessory Structure TYPE OF PROJECT (check all that apply) : ❑New Construction ❑Addition ❑Remodel ❑Repair ✓❑T.I. ❑Change of Use ❑Modular ❑Portable ❑Re -roof ❑Exterior Alteration ❑Tank (above ground) ❑Acc:essory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank (above ground) ❑Other: DESCRIPTION OF WORK: INTERIOR FINISH ONLY, NO INTERIOR WALLS, 1 SINK ACKNOWLEDGEMENT. I have reviewed this application and confirm the information contained herein is true and direct. 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/ comply with the State Contract s Law 18.27 RCW and 296.200A WAC. / City of Everett Official Use Only "f PERMIT # 5/16/2022 OV6 Owner/AuAgent Signature Date (Revised 412112022) c