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NMI <br /> Liz BUJ/WING PERMIT APPLICATIGJ <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT 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)everetteps@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 7807 40th Avenue W PARCEL#: <br /> CITY Everett STATE <br /> WA ZIP 98201 <br /> SUITE/UNIT#: FLOOR#: 1 ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANT/BUSINESS NAME(if non-residential):LSG Sky Chefs <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:Gheorghe Georgiu <br /> OWNER MAILING ADDRESS: STREET 5810 86th Street SW <br /> CITY <br /> Mukilteo STATE WA ZIP 98275 <br /> OWNER PHONE:425-344-9514 OWNER EMAIL: gigeorgiu@gmail.com <br /> CONTRACTOR COMPANY NAME TBE oNC 71?OCTIDA3 <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED): C}oi2.1«\ I PM CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 3116 <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: Z-0 — 3$'Z-Vico CONTRACTOR EMAIL: f-,F.5f55e N? CA•kt co t3.co,n.1 <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) Jeff Wright,MCA Architects <br /> CONTACT NAME: CONTACT PHONE:503-226-0622 <br /> Jeff Wright, MCA Architects CONTACT EMAIL:Wright@mca-architects.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK: $120,000.00 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:F-1 Shop <br /> PROPOSED USE OF BUILDING:F-1 - Food Processing /S-1 - Storage <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 /> ❑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: • INSTALL NEW WALK-IN COOLER & REFRIGERATION SYSTEM <br /> • CONSTRUCT NEW PORTERS CLOSET WITH JANITORS SINK <br /> • INSTALL PALLET RACKING FOR RAW PRODUCT STORAGE (<12i-0" tall) <br /> • INSTALL (2) PORTABLE HYDRAULIC LIFTS TO LOAD AND UNLOAD TRUCKS <br /> • ENCLOSE NEW IT ROOM <br /> • INSTALL NEW MECHANICAL SYSTEM <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 /> PERMIT# Z2 0 Ls. <br /> Francis X Rudloff 02/07/2022 <br /> Owner/Authorized Agent Signature Date (Revised 2/8/2021) <br />