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• <br /> ECEDVE ' <br /> 1 <br /> IMME LI <br /> BUILDING PERMIT APPLICATI MAY 2 8 2023 ;,/ , <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT <br /> ��++��T <br /> SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requiremsC9 anYneAr Ri �eq t ii d for review, <br /> WASHINGTON then drop off completed application plus all required submittal documents to 320"►- gartake Drop Box. <br /> CONTACT INFORMATION:(P)425-257-8810 I(E)PermitServices@everettwa.gov I r ,eve a Y.VV'Iretfl is <br /> (Blue.or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 2902 Rucker Ave. PARCEL#: 004391-680-033-00 <br /> City Everett STATE WA zip 98201 <br /> SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANT/BUSINESS NAME(if non-residential):FASTSIGNS Everett <br /> I <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:DMT RUCKER LLC <br /> OWNER MAILING ADDRESS: STREET 3425 BROADWAY Suite 200 <br /> cm Everett STATE WA ZIP 982001 <br /> OWNER PHONE:(425)610-4567 OWNER EMAIL: facilities@nvlrstorages.com 4 <br /> 3 <br /> CONTRACTOR COMPANY NAME:MVM CMD LLC 1€ <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):MVMCMCL786CM CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> 64345 <br /> CONTRACTOR ADDRESS: sTREET2284 W. Commodore Way, Suite 220 : <br /> crri Seattle STATE WA ZIP 98199 <br /> CONTRACTOR PHONE:206-793-2490 CONTRACTOR EMAIL:mike@mvminvestments.com <br /> 4 <br /> PRIMARY CONTACT: ❑OWNER ©CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-793-2490 <br /> Michael Morgan CONTACT EMAIL:mike@mvminvestments.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK:$80,000 ASSOCIATED LAND USE PROJECT#(if applicable): <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.) <br /> EXISTING USE OF BUILDING:Business Service 1 <br /> : <br /> PROPOSED USE OF BUILDING:Same <br /> HEAT SOURCE: IZ/Gas ❑Electric ❑Other <br /> BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: IZiCommercial ❑Accessory Structure <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 is <br /> ❑Fence over 7ft high DRackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: <br /> DESCRIPTION OF WORK: I, <br /> Demo existing ramp & steps on 1st floor at location connecting north and south <br /> buildings. install new accessible concrete ramp in its place. Additional minor TI items 1 <br /> on 1st floor as per plans. <br /> III <br /> if <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 v <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!comply with the State Contractors Law 18.27 RCW and 296.200A WAG. <br /> ,� City of Everett Official Use Only <br /> / r. i PERMIT# <br /> Wner/l� thorized g"nt Signature Se/;Date (Revised 4121/2022) <br /> i <br />