2825 COLBY AVE VINTAGE LIBATIONS 2023-12-07

BU�JING PERMIT APPLICATI pp C ] a11)) CITY OF EVERETT PERMIT SERVICES a r" EVERETT SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirement d nuid of2edie2(i24uired 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)PermitServices@everettwa.gov I QIN pbOr t ra. oV I et 1b -_ (Blue or Black Ink Only Please) PROJECT SITE INFORMATION Permit Services PROJECT SITE ADDRESS: STREET a 3 a s C o i b y (S i PARCEL#: CITY Ft'e C et+ STATE '1,-^-7 A- ZIP 9 8 a,Q I SUITE/UNIT#: Colby FLOOR#: I ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): T-►, 2 c 011,m Cl U L \V;n to ge. L , bu*t-o h S, L LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: CS k o-)-a►. a L OWNER MAILING ADDRESS: STREET O a O X Sol (D 7 CITY Ev e STATE W 9 ZIP sao 6 OWNER PHONE: L/a S- of S a - Sy GO OWNER EMAIL: d ar-e. , g f-Q e4 Q Sko+d a L, C Q •� CONTRACTOR COMPANY NAME: r ✓t a vt WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET CRY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR ®"OTHER(Please Specify) T-e ah T CONTACT NAME: CONTACT PHONE: 3 (o O — 7 O 9 13)S ?- obe ; r ? encoSe____ CONTACT EMAIL: Vint-o ve Ii baa-}ionsLL CQ g ma;1-. Ca ►vt BUILDING INFORMATION VALUATION OF WORK: $ 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: Q C i o f' I C_0 S In o e PROPOSED USE OF BUILDING: Sp; >;;}S/r-eer/ iZe.Sfc c can+ I 0u09e_ HEAT SOURCE: rtiGas ❑Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: E6ommercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): El New Construction ❑Addition , emodel ❑Repair ❑T.I. EChange 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: - r:-ew►oak L_ ex iSli �c C�joil Lacafiio✓I ;hTO GOC)r it Lounge . — f';a in7O e_xi9fi✓lOO QtU .6,'vn -elPE--C, co. L_ (LkVICEC€ Ceil ;hc, 1 d_ c *-i C_ tL c .6) j 'i -} ties BC)i14— bA s t, 90 c fra� C es)-oven e q vi 12Gli nT- a- 0.84_ %-✓o"hSc-o a+,' r> � 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 I am authorized by the owner of this property to perform the work for which application is made. and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# ry Owner/Authori gent Signature Date (Revised 4/21/2022)