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NEN <br /> BQILDING PERMIT APPLICAT!N <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 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 1101 Industry Street PARCEL#: 280401-003-027-00 <br /> cirr Everett STATE WA ZIP 98203 <br /> SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANT/BUSINESS NAME(if non-residential):Western Pacific Building Materials <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: See attached Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:Merrill Creek <br /> OWNER MAILING ADDRESS: STREET 3326 160th Ave SE, #150 <br /> CITY Bellevue STATE WA zip 98008 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR COMPANY NAME:AMAROK, LLC �I 1 / <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):CC ELECTGD7,6°�JE CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 57096 <br /> CONTRACTOR ADDRESS: STREET 550 ASSEMBLY ST, 5TH FLOOR <br /> CITY COLUMBIA STATE SC ZIP 29201 <br /> CONTRACTOR PHONE:803-904-2544 CONTRACTOR EMAIL:BINABINET@AMAROK.COM <br /> PRIMARY CONTACT: ❑OWNER D CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:803-904-2544 <br /> Bobby In a b i n et CONTACT EMAIL:binabinet@amarok.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK: $41,056 ASSOCIATED LAND USE PROJECT#(if applicable): D (L(2(finll1 <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.) t Imo— I `Vj <br /> EXISTING USE OF BUILDING:521 Lumber&Other Building Materials <br /> PROPOSED USE OF BUILDING:521 Lumber& Other Building Materials (no change) _ AU6 14 2023 <br /> HEAT SOURCE: ❑Gas ❑Electric ❑Other CITY OF EVERETT <br /> BUILDING TYPE: ❑SFR ❑Townhouse Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑AccsgimituService 5 <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 /> LIFence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: <br /> DESCRIPTION OF WORK: <br /> INSTALLATION OF 10' TALL, 12V/DC BATTERY OPERATED, SOLAR CHARGED, <br /> SECURITY SYSTEM FENCE. SECURITY SYSTEM IS INDEPENDENT OF <br /> BUILDING'S POWER AND WILL BE INSIDE THE EXISTING PERIMETER FENCE. <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 1 comply with the State C ntractors Law 18. 7 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> 8/7/2023 PERMIT# 5230 Q , O I <br /> Owner/Auth !zed gent Si n r Date (Revised 4/21/2022) J <br />