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

Elm BLSDING PERMIT APPLICATIEcEuvED CITY OF EVERETT PERMIT SERVICES D EVERETT SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requiremer nd number of copies required ew, WASHINGTON then drop off completed application plus all required submittal documents to 3 edat t2r8 FI20Q3takeox. CONTACT INFORMATION: (P)425-257-8810 I(E)PermitServices@everettwa. W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION CITY OF F V P RR TT PROJECT SITE ADDRESS: STREET 63o736th Ave West PARCEL#: 2os4o3oReffilit Services CITY Everett STATE WA ZIP 98203 SUITE/UNIT#: Ub 6; FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):Deluxe LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Gordy Sifferath OWNER MAILING ADDRESS: STREET 801 S. Marquette Ave CITY Minneapolis STATE MN ZIP 55402 OWNER PHONE:612-400-3758 OWNER EMAIL: gordy.sifferath@deluxe CONTRACTOR COMPANY NAME:Pattison General Contractor WA STATE CONTRACTOR LICENSE#(REQUIRED):PATTIGC917C7 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 040060 CONTRACTOR ADDRESS: STREET 15223 NE 90th Street,Suite 140 CITY Redmond STATE WA ZIP 98052 CONTRACTOR PHONE:206-856-4436 CONTRACTOR EMAIL:branniganh@pattisongc.com PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) Ware Malcomb CONTACT NAME: CONTACT PHONE:425.582.5516 Bobby Vang CONTACT EMAIL:bvang@waremalcomb.com BUILDING INFORMATION VALUATION OF WORK: $392,000.00 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:Office(B)/Warehouse(S1) PROPOSED USE OF BUILDING:SAME USE;Office(B)/Warehouse(S1) 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:THE SCOPE OF THIS PROJECT IS TENANT IMPROVEMENT OF OFFICE SPACE BUILDING OUT WITHIN AN EXISTING OFFICE/ WAREHOUSE USE. NEW PARTITIONS, LIGHT FIXTURES, ACOUSTICAL CEILING TILE AND FINISHES THROUGHOUT AT OFFICE AREA. 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 04.26.2023 PERMIT# / �3o y - o y'6-' OwnerlAuthorii Agent Sigyature Date (Revised 4/21/2022)