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BUIL 1G PERMIT APPLICATION. p EC EVE <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT <br /> SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and ber pfpplaiet acpiirpflfifor revi <br /> WASHINGTON then drop off completed application plus all required submittal documents to 3200 Ca.I Street ndd F oor IrfthifelDrop B <br /> CONTACT INFORMATION: (P)425-257-8810 I(E)PermitServices@everettwa.gov I(W)e r a. o p iits <br /> RETT <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION "Permit Servioc3vioc3 <br /> PROJECT SITE ADDRESS: STREET 834 80TH Street SW PARCEL#: 28041200305200 <br /> crry Everett STATE WA ZIP 98203 <br /> SUITE/UNIT#: 300/Building A FLOOR#: 1 ADDITIONAL LOCATION INFORMATION (if applicable):All of building A <br /> TENANT/BUSINESS NAME(if non-residential):Unit Process <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: See attached Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:Covewood Manor, LLC <br /> OWNER MAILING ADDRESS: STREET P.O. Box 1301 <br /> CITY Seahurst STATE WA ZIP 98062 <br /> OWNER PHONE:206-818-5363 OWNER EMAIL: undev@hotmail.com <br /> CONTRACTOR COMPANY NAME: Davis Schueller C - <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED): DAVISSI 1 O5PN CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):26267 <br /> CONTRACTOR ADDRESS: STREET 4601 Chennault Rd, Suite 200 <br /> CITY Mukilteo STATE WA ZIP 98275 <br /> CONTRACTOR PHONE:425-775-9400 CONTRACTOR EMAIL: cstockburger©davisschueiler.com <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑OTHER(Please Specify) Architect(Lance Mueller Architects) <br /> CONTACT NAME: CONTACT PHONE:206-325-2553 ext. 4 <br /> Harold Christensen CONTACT EMAIL:haroldc@Imueller.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK: $ 8,000 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:Office/Warehouse <br /> PROPOSED USE OF BUILDING:Office/Warehouse. One tenant will occupy entire building. <br /> HEAT SOURCE: I IGas ❑Electric ❑Other <br /> BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ✓❑Commercial ❑Accessory Structure <br /> TYPE OF PROJECT(check all that apply): New Construction ❑Addition ❑Remodel ❑Repair EIT.I. ❑Change of Use <br /> ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure <br /> ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ElOther: <br /> DESCRIPTION OF WORK: <br /> Create openings in existing demising wails between existing suites. (1) access point <br /> within office area and (4)within warehouse area. One tenant will occupy the entire <br /> building. The tenant Unit Process currently occupies suites 200, and 300 (Western <br /> portion of the building). <br /> ACKNOWLEDGEMENT:1 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 <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 i comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> Owner/Authorized Agent Signa re Date (Revised 4/21/2022) <br />