525 112TH ST SE 2024-11-07 - Laserfiche WebLink

Eir. BUILD G PERMIT APPLICATIO4 CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements and number of copies required for review, WASHtNGTON 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 0*°°pease) PROJECT SITE INFORMATION, PROJECT SITE ADDRESS: STREET 525 112th St SE PARCEL#: 28511900301800 CITY Everett STATE WA ZIP 98028 SUITE/UNIT#: F-122 FLOOR#: First ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): Woodbrook Apartments LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) F trµ..,,., CONTAC N " N OWNER NAME: Cushman and Wakefield OWNER MAILING ADDRESS: STREET 11235 SE 6th St, Suite 200 CITY Bellevue STATE WA ZIP 98004 OWNER PHONE: (206)816-9585 OWNER EMAIL: David_Tillotson@cushwake.com CONTRACTOR COMPANY NAME: Prem 1 er, LLC r �, ,� v WA STATE CONTRACTOR LICENSE#(REQUIRED): PREM1 L*814N 1 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 66768 CONTRACTOR ADDRESS: STREET 223 S Lewis St, Suite 200 CITY Monroe STATE WA ZIP 98272 CONTRACTOR PHONE: (425)282-2306 CONTRACTOR EMAIL: BrianS@P1Renovations.com PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: (425)282-2306 Bring Slimak CONTACT EMAIL: BrianS@P1 Renovations.com BUILDING INFORMATION VALUATION OF WORK:$20,000 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:Apartment building PROPOSED USE OF BUILDING:Apartment building HEAT SOURCE: ❑Gas ❑✓Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑✓Multi-Family-#Units: ElCommercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): El New Construction ❑Addition ❑Remodel ✓❑Repair ❑T.I. ❑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: Ground floor unit sustained vehicle damage. Repair damage to wall, including framing, insulation, siding and associated hardware and fast ©E O v[ 1 F E B 2 4 2024 CITY OF sEVrERETT ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. Work done pursue otfris 1 Le ppl r perm 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.lam 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 �o� PERMIT# .6,2"� ` K0��/)� �� 02>/2 2 /2 021 �1�� l c Owner/Authorized Agent Signature Date (Revised 4/21/2022)