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11030 7TH AVE SE 2024-02-16
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11030 7TH AVE SE 2024-02-16
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2/16/2024 1:24:23 PM
Creation date
2/16/2024 1:22:27 PM
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Address Document
Street Name
7TH AVE SE
Street Number
11030
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imm <br /> BUILDING PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETTSUBMITTAL 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 11030 7th Ave SE PARCEL#: 0235770 <br /> ape Everett STATE WA Zip 98208 <br /> SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANT/BUSINESS NAME(if non-residential): <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:Woodbrook Apartments <br /> OWNER MAILING ADDRESS: STREET 27200 Agoura Road, Suite 201 <br /> CITY Calabasa STATE CA Z1P 91301 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR COMPANY NAME:Statewide Restoration <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):STATERI866KH CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 55221 <br /> CONTRACTOR ADDRESS: sTREET 25713 74th Ave S, Suite B <br /> CITY Kent STATE WA ZIP 98032 <br /> CONTRACTOR PHONE:425-402-7170 CONTRACTOR EMAIL:kurt.feldern@gostatewide.com <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR U OTHER(Please Specify) Engineer/Applicant <br /> CONTACT NAME: CONTACT PHONE:253-833-5557 <br /> Jesse Binford CONTACT EMAIL:jbinford@bcie.net <br /> BUILDING INFORMATION <br /> VALUATION OF WORK: $100,000 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:Detached garage for Apartment Complex <br /> PROPOSED USE OF BUILDING:No Change. Detached Garage <br /> HEAT SOURCE: ❑Gas IIElectric `OOther <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 /> ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration (Tank(above ground) ❑Accessory Structure <br /> ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑✓Other:Demo <br /> DESCRIPTION OF WORK: <br /> Fire damage to 7 units (18-24) of south end of detached garage. Partial demo of <br /> garage, to include exterior walls of units 18-24 and trusses over entire detached <br /> garage. To be rebuilt with future building permit. <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 /> Digitally signed by Jesse L Binford <br /> Jesse L Blnford DN cn=Jesse L Binford o=BC Investigative pp PERMIT# ^ D /� ^ <br /> Engineers,ou.email=jbinford@Bcie net,cUS 08-25-22 '&P CI -- <br /> l►�//) <br /> Date.2022.08.25 10'0801-07'00' <br /> Owner/Authorized Agent Signature Date (Revised 4/21/2022) <br />
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