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BUILDING PERMIT APPLICATION <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 1 (E) PermitServices@everettwa.gov I (W) everettwa.gov/permits <br />(Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: STREET 2407106th St SW PARCEL #: 00535400001101 & 28042300201500 <br />CITY Everett STATE WA ZIP 98204 <br />SUITE/UNIT #: FLOOR #: ADDITIONAL LOCATION INFORMATION (if applicable): <br />TENANT/BUSINESS NAME (if non-residential): IAM District 751 <br />LEGAL DESCRIPTION for new construction: Short Plat/subdivision: see Title Sheet Lot No.: (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: Jon Holden- Aeronautical Machinists, Inc <br />OWNER MAILING ADDRESS: STREET 9125 15th PI S <br />CITY Seattle STATE WA ZIP 98108 <br />OWNER PHONE: 206-764-3301 <br />OWNER EMAIL: jonh@iam751.org <br />CONTRACTOR COMPANY NAME: Foushee <br />WA STATE CONTRACTOR LICENSE #(REQUIRED): CC FOUSHAC1580D <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 024790 <br />CONTRACTOR ADDRESS: STREET 3240 118th Ave. S.E. <br />CITY Bellevue STATE WA ZIP 98005 <br />CONTRACTOR PHONE: 425) 957-2129 <br />CONTRACTOR EMAIL: cmiller@foushee.com <br />PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR 0 OTHER (Please Specify) Architect <br />CONTACT NAME: <br />Urbal Architecture - Alex Dalzell <br />CONTACT PHONE: 206 676 5649 <br />CONTACT EMAIL: alexd@urbalarchitecture.com <br />BUILDING INFORMATION <br />VALUATION OF WORK: $ ASSOCIATED LAND USE PROJECT # (if applicable): <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: Label Plus <br />PROPOSED USE OF BUILDING: Machinist Union Hall <br />HEAT SOURCE: OGas DElectric ❑Other <br />BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family - # Units: Commercial ❑Accessory Structure <br />TYPE OF PROJECT (check all that apply) : ❑New Construction ❑Addition ❑Remodel [-]Repair OT.I. OChange of Use <br />❑Modular ❑Portable ❑Re -roof ❑Exterior Alteration [-]Tank (above ground) ❑Accessory Structure <br />❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub [-]Tank (above ground) ❑Other: <br />DESCRIPTION OF WORK: Make new office space in current Occupancy B spaces, Convert current shop space <br />Occupancy B. Remodel current WC to be updated to the increased occupant load. <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 1 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 />Agent <br />8/1 /23 <br />Date <br />City of Everett Official Use Only <br />PERMIT # <br />(Revised 412112022) <br />