1712 W MARINE VIEW DR 2023-12-07

mos B DING PERMIT APPLICATTN 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 (W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1710 W.MARINE VIEW DR. PARCEL#: 29051800400500 cln. Everett STATE WA ZIP 98201 SUITE/UNIT#: N/A FLOOR#: 1 ADDITIONAL LOCATION INFORMATION (if applicable): N/A TENANT/BUSINESS NAME(if non-residential):Woods Coffee LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Commercial Lot No.: N/A (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:TAYLOR HERMAN-WOODS COFFEE OWNER MAILING ADDRESS: STREET 191 18TH ST CITY LYNDEN STATE WA ZIP 98264 OWNER PHONE:360.393.7553 OWNER EMAIL: TAYLORH@WOODSCOFFEE.COM �E � i�lL C • CONTRACTOR COMPANY NAME S. I De S _ WA STATE CONTRACTOR LICENSE#(REQUIRED). KARLEWLt qa2.1CITY OF EVERETT BUSINESS LICENSE#(REQUIRED) 57O CONTRACTOR ADDRESS: STREET ' t;Wit~I k) �I I�i�"l t.�1c. !�q CITY -A—LAJ) t" . STATE WA ZIP ?(/C7 �1•/, CONTRACTOR PHONE: 360 =for-6 7 9e I CONTRACTOR EMAIL: f PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:360.393.7553 TAYLOR HERMAN CONTACT EMAIL:TAYLORH@WOODSCOFFEE.COM BUILDING INFORMATION VALUATION OF WORK: $$200,000 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:N/A PROPOSED USE OF BUILDING:SINGLE LANE DRIVE-THRU COFFEE CAFE HEAT SOURCE: ❑✓Gas ❑✓Electric ❑Other 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) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK:TENANT IMPROVEMENTS OF A COFFEE SHOP IN UNFINISHED COMMERCIAL SUITE 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 St to Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# 1/4/2023 Owner/Autho ed Agent Signature Date (Revised 2/8/2021) /2—