2 W CASINO RD BLDG C 2024-10-24 - Laserfiche WebLink

BUDING PERMIT APPLICATIc 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 2 West Casino Road PARCEL#: 41200101400 cm, EVERETT STATE WA Zip 98204 SUITE/UNIT#: units C49+C50 FLOOR#: 2 ADDITIONAL LOCATION INFORMATION (if applicable): interior only TENANT/BUSINESS NAME(if non-residential):BLUFFS AT EVERGREEN LEGAL DESCRIPTION for new construction: Short Plat/subdivision: SEE PERMIT SET ATTACHED Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:BLUFFS AT EVERGREEN EXCHANGE LLC OWNER MAILING ADDRESS: STREET 680 5TH AVE, 17TH FLOOR cim' NEW YORK STATE NY ZIP 10019 OWNER PHONE: OWNER EMAIL: CONTRACTOR COMPANY NAME:BRinc(Building Resources Inc) WA STATE CONTRACTOR LICENSE#(REQUIRED):BUILDRI949BQ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 52319 CONTRACTOR ADDRESS: STREET 18386 Redmond-Fall City Rd cm Redmond STATE WA zip 98052 CONTRACTOR PHONE:425-276-2311 CONTRACTOR EMAIL:pboyd@callbrinc.com PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) AUTHORIZED AGENT CONTACT NAME: CONTACT PHONE:206 682 5211 CASSANDRA CHEATHAM/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:MULTI-FAMILY RESIDENTIAL PROPOSED USE OF BUILDING:(NO CHANGES) HEAT SOURCE: EGas ❑Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑✓Multi-Family-#Units: 12 ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑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: Proposed repair to interiors only to be replaced in-kind. Non-structural. 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 CASSANDRA DigCASSADRA Datle:2023.07.06tally signed by13 58 20NOT 0' 7-6-2023 PERMIT# — �^ i 6ZZ Owner/Authorized Agent Signature Date (Revised 4/21/2022)