6307 36TH AVE W 2024-11-07 - Laserfiche WebLink

BODING PERMIT APPLICATION 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 l (W)everettwa.gov/permits (Blue or Black Ink Only Please) , 3 0Y PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET. 6th Ave W, ' PARCEL#: 28040300401300 crTY EVERETT STATE WA zip 98203 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):TBD LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Secnoe3Townahip28 Range eQuarter SE LOT 2-BCOEI Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:POWDERMILL PHASE 1 LLC OWNER MAILING ADDRESS: STREET 6840 FORT DENT WAY SUITE350 clry SEATTLE STATE WA zip 98188 OWNER PHONE:425.283.5478 ,OWNER EMAIL: krissyl@jshproperties.com pv CONTRACTOR COMPANY NAME:TBD �a E-1S Q 11 Ca y "1,p iV WL coy) r a-a_ WA STATE CONTRACTOR LICENSE#(REQUIRED): P�-1rr C1t/"1 I70 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 4--00(C CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR ✓❑OTHER(Please Specify) Architect CONTACT NAME: CONTACT PHONE:425 646 1818 Randy Brown CONTACT EMAIL:randy.brown@synthesispllc.com BUILDING INFORMATION VALUATION OF WORK: $19,080 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:warehouse PROPOSED USE OF BUILDING:warehouse/distribution 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.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: Speculative Tenant Improvement in an existing tilt up concrete shell. New warehouse demising wall. 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 1 _ PERMIT# �� _. O(O _ �- /`, .�6a-PLOi, 2/1O/2fl23 Owner/ h . orized Agent Signature Date (Revised 4/21/2022) l2