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BUILDING PERMIT APPLICAT4 <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)everetteps@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 7430 Evergreen Way PARCEL#: 00393700100500 <br /> CIT. Everett STATE WA zip 98203 <br /> SUITE/UNIT#: 102 FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANT/BUSINESS NAME(if non-residential):Gyro Stop <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Attached Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Hasan Zeer <br /> OWNER MAILING ADDRESS: STREET 725 Pike St 4th Floor <br /> cm. Seattle STATE WA ZIP 98102 <br /> OWNER PHONE: (206) 368-5080 OWNER EMAIL: Zeerinc@gmasil.Com <br /> CONTRACTOR COMPANY NAME: To Be Selected <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) Consultant /00-6eArr. <br /> CONTACT NAME: CONTACT PHONE: 425-750-3927 <br /> Chuck Cross-WMC Mgt CONTACT EMAIL:Chuckcross@bcciltd.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK: $ 84,000.00 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: Vacant - B <br /> PROPOSED USE OF BUILDING:B restaurant <br /> HEAT SOURCE: ❑✓Gas ❑Electric 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 ❑✓T.I. ❑Change of Use <br /> EModular ❑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: Interior Tenant Improvement to existing vacant space to include- Non structural <br /> partitions, rest room, floor and wall finishes and isnatllation of restaurant equipment. <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, l 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 /> PERMIT# <br /> &Lel (. -Q/ 7/22/2021 Y �'1 D) -0 "* <br /> Owner/Authorized Agent Signature Date (Revised 2/8/2021) <br /> - <br />