10111 9TH AVE W EMERALD COURT APARTMENTS 2024-06-13

umi BU•ING PERMIT APPLICATICO CITY OF EVERETT PERMIT SERVICES EVERETTSUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements and number of copies required for review, WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. CONTACT INFORMATION:(P)425-257-8810 I(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION , PROJECT SITE ADDRESS: STREET 10111 9th AVE W PARCEL#: 00535200000300 CITY EVERETT STATE WA zip 98024 SUITE/UNIT#: FLOOR#: -- ADDITIONAL LOCATION INFORMATION (it applicable):WEST LOBBY ONLY TENANT/BUSINESS NAME(if non-residential):EMERALD COURT APARTMENTS LEGAL DESCRIPTION for new construction: Short Plat/subdivision: NWOLIVIA PARK OIV1BLK0000-00 LOT 3EXCW1© Lot No.: SEE COVER SHEET (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:LEW MALER OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: LEWRMALER@GMAIL.COM CONTRACTOR COMPANY NAME:TBD WA STATE CONTRACTOR LICENSE#(REQUIRED):La eke.L.8ZONN CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): a 4�?j CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) AUTHORIZED AGENT CONTACT NAME: CONTACT PHONE:206-682-5211 CASSANDRA CHEATHAM 1 KILBURN ARCHITECTS LLC CONTACT EMAIL:CASSANDRA@KILBURNARCHITECTS.COM BUILDING INFORMATION VALUATION OF WORK:$25,000 ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not) EXISTING USE OF BUILDING:MULIT-FAMILY RESIDENTIAL PROPOSED USE OF BUILDING:(NO CHANGES) HEAT SOURCE: ❑Gas ❑Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑✓Multi-Family-#Units:42 ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair ✓❑T.l. ❑Change of Use ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK: INTERIOR REMODEL OF WEST LOBBY. REMOVE & REPLACE EXISTING ENTRY DOOR. REMOVAL AND ADDITIONS OF INTERIOR WALLS. NO STRUCTURAL. CONVERSION OF 1-BDRM INTO STUDIO. 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 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 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, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only CASSAN D RA Digitally signedCASSADA Date:2022.07 22y11 32 00NOT 0' 7-22-2022 PELT#+ + �-y - CO Owner/Authorized Agent Signature Date (Revised\ed 44/21//2202)2�`)�Jyv` lMNll`L^/