9602 EVERGREEN WAY IMRANS MARKET 2023-12-07

ENE EllpILDING PERMIT APPLICASON CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. CONTACT INFORMATION: (P)425.257.8810 I(E)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 9602 Everegreen Way PARCEL#: 00480200300700 cm, Everett STATE wash. ZIP 98204 SUITE/UNIT#: FLOOR#: 1 ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):Imrans Market II LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Intercity Div 1 Blk.0O3-DD Lot No.:7,8,9 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Imrans Market LLC OWNER MAILING ADDRESS: STREET 11501 HWY 99 cm, Everett STATE wash ZIP 98204 OWNER PHONE:425-610-4215 OWNER EMAIL: qureshiace@yahoo.com CONTRACTOR COMPANY NAME:TBD Um in O Co 1- C 1.1 V �-,l WA STATE CONTRACTOR LICENSE#(REQUIRED): R V A>J 0 C.L�02 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 6.3'ft/ . CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) Architect CONTACT NAME: CONTACT PHONE:206-283-8317 William Page CONTACT EMAIL:pagearch@whidbeyisland.com BUILDING INFORMATION VALUATION OF WORK:$90,000 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:Restaurant PROPOSED USE OF BUILDING:Market- Grocery store HEAT SOURCE: ❑Gas ❑Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ECommercial ❑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) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK:Add additinal Storefront double door. New tenant division wall. New met cutting room. New office. Add hand sink, mop sink and three compartment sinks. New ramp from exterior to interior at storge room. 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 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!am authorized by the owner of this property to perform the work for which application is made, and I comply with the State Contractors aw 18.27 RCW and 296.200A WAC. /G City of Everett Official Use Only VU 7 L)7� Oa I PERM#Lk OLi J Owner/Authorized Agent Sig ture Date (Revised 2/8/2021) 1/Z