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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 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 1205 Craftsman Way PARCEL#: 29051800-208100.-208101 &-102300 <br /> cliv Everett STATE WA Zip 98201 <br /> SUITE/UNIT#: TBD FLOOR#: 1 ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANT/BUSINESS NAME(if non-residential):Port of Everett, Marina Maintenance Shop <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:Port of Everett <br /> OWNER MAILING ADDRESS: STREET 1205 Craftsman Way, Suite 200 <br /> cm, Everett STATE WA Zip 98201 <br /> OWNER PHONE:425-388-0715 OWNER EMAIL: JohnK@portofeverett.com <br /> CONTRACTOR COMPANY NAME:TBD I, 1 LV <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):TIZICOVI.%S t0 Qi CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): S 5 <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> PRIMARY CONTACT: El OWNER ❑CONTRACTOR E OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-388-0715 <br /> John Klekotka, P.E. CONTACT EMAIL:JohnK@portofeverett.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK:$1.2 M ASSOCIATED LAND USE PROJECT#(if applicable):Waterfront Place Central <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:Previous uses have included boat repair and leaseable area. <br /> PROPOSED USE OF BUILDING:Maintenance and Operations shop(welding,vehicle repair, maintenance project work space, etc.) <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) ElAccessory Structure <br /> ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: <br /> DESCRIPTION OF WORK: <br /> Remodel 5,270 SF of existing structure to enclose existing canopy space. Demolition <br /> includes removal of existing fencing and gates, asphalt, trench drain, cross bracing, <br /> curb, conduit, piping and fixtures. Remodel includes enclosing the space by adding <br /> exterior walls, siding, windows and doors, installing concrete flooring, HVAC, fire <br /> alarms and suppression, and replace trench drains. Work includes adding <br /> landscaping. <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 La - 8.27 RCW and 296.200A WAC. <br /> �/f City of Everett Official Use Onlyny <br /> �if444)�l �ti Ft0/� 1/ ` PERMIT# 77 I 7- � o lUV <br /> Owner/Authorized Agent Signature Date (Revised 4/21/2022) <br /> n I1 e <br />