2821 HEWITT AVE NW PLUS CREDIT UNION 2024-08-02

DocuSign Envelope ID:6913D979-9E02-4848-88F9-D. ,t-2E7034 BUILDING PERMIT APPLICATIO CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL 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 2821 Hewitt Ave PARCEL#: 00593665600101 cITY Everett STATE WA ZIP 98201 SUITE/UNIT#: FLOOR#: B ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):Northwest Plus Credit Union LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Northwest Plus Credit Union OWNER MAILING ADDRESS: STREET 2821 Hewitt Ave CITY Everett STATE WA ZIP 98201 OWNER PHONE:425-297-1036 OWNER EMAIL: Dminton@nwpluscu.com CONTRACTOR COMPANY NAME:Momentum INC WA STATE CONTRACTOR LICENSE#(REQUIRED): CC MOMENI*939DH CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 65035 CONTRACTOR ADDRESS: STREET 109 Bell Street,Suite B CITY Seattle STATE WA ZIP 98121 CONTRACTOR PHONE:714-851-3343 CONTRACTOR EMAIL:Cwinters@momentumbuilds.com PRIMARY CONTACT: ❑OWNER ✓❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:714-851-3343 Andrew Brown, Momentum INC CONTACT EMAIL:Abrown@momentumbuilds.com BUILDING INFORMATION VALUATION OF WORK:$117.650 ASSOCIATED LAND USE PROJECT#(if applicable):N/A (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:B PROPOSED USE OF BUILDING:B -------- -- ---- HEAT SOURCE: ❑Gas ❑Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ✓❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair ❑✓T.l. ❑Change of Use ❑Modular ❑Portable ❑Re-roof ElExterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK:650 SQUARE FOOT TENANT IMPROVEMENT FOR FINANCIAL BRANCH IT OFFICE. IMPROVEMENTS ARE TO IT OFFICE SPACE LOCATED IN BASEMENT BUILDING. WORK INCLUDES NEW INTERIOR FULL HEIGHT PARTITION WALLS, NEW FLOORS, NEW CEILING, AND CUSTOM CASEWORK. 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 DocuSigned by: PERMIT# �AdAlf� htvtr01A, 10/3/2023 13 227/0 C 5 7 \UwAirrrinititaiiglii Agent Signature Date (Revised 4/21/2022)