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E BOLDING PERMIT APPLICATS <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 I (E)PermitServices@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 1701 121st ST SE PARCEL#: 28053000100900 <br /> clrY Everett STATE WA ZIP 98208 <br /> SUITE/UNIT#: Building A FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): Landing <br /> TENANT/BUSINESS NAME(if non-residential):Charter Club Apartments <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: NA Lot No.: NA (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:CHARTER CLUB OWNER LLC <br /> OWNER MAILING ADDRESS: STREET 601 S FIGUEROA ST STE 3600 <br /> clry Los Angeles STATE CA ZIP 90017 <br /> OWNER PHONE:206-628-8007 OWNER EMAIL: codyj@secprop.com <br /> CONTRACTOR COMPANY NAME:Building Resources Inc <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):BUILDRI949BQ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 52319 <br /> CONTRACTOR ADDRESS: STREET18386 Redmond-Fall City Rd <br /> CITY Redmond STATE WA ZIP 98052 <br /> CONTRACTOR PHONE:425-276-231 1 CONTRACTOR EMAIL:jOShd©callbrinc.com <br /> PRIMARY CONTACT: ❑OWNER ✓')NTRACTOR _THER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-650-2619 <br /> Janelle Boyd CONTACT EMAIL:janelleb@callbrinc.com/joshd@callbrinc.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK:$7,000 ASSOCIATED LAND USE PROJECT#(if applicable):NA <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: commercial <br /> PROPOSED USE o JILDI/ DOmm2 c aI <br /> HEAT SOURCE: _3s .ctric I t erNA — <br /> BUILDING TYPE: _R —wnhouse lex ____)U ilti-Family-#I lnits: nmercial cessory Structure <br /> PROFJEIT at apply • w Construct .edition °pair —ange of Use <br /> dular rtable roof rior Alteration nk(above ground) cessory Structure <br /> nce over 7ft high ckStorage of/Hot Tub nk(above ground) er:landing repairs <br /> DESCRIPTION OF WORK:Stair landing repairs <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. I am the owner,or I am authorized by the owner of this property to perform the work for which application is made. <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> Janelle Boyd Digitally signed by Janelle Boyd 2/7/23 PERMIT# <br /> Date:2023.02.06 1812:48-08'00' 7 I <br /> Owner/Authorized Agent Signature Date (Revised 4/21/2022) <br /> `lz <br />