1111 PACIFIC AVE 2025-01-10 - Laserfiche WebLink

B` Y DING PERMIT APPLICATIal EVERETT CITY OF EVERETT PERMIT SERVICES 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 I(W)everettwa.govlpermits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1111 Pacific Ave PARCEL#: 00437572201500 CITY Everett STATE WA ZIP 98201 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):European Denture Center LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:11 11 Pacific LLC OWNER MAILING ADDRESS: STREET PO Box 3108 CITY Everett STATE WA ZIP 98213 OWNER PHONE:2069720388 OWNER EMAIL:jefftufarolo@gmail.com CONTRACTOR COMPANY NAME:AWR Inc. WA STATE CONTRACTOR LICENSE#(REQUIRED)AWRINI*962R9 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):53424 CONTRACTOR ADDRESS: STREETPO box 1121 CITY Marysville STATE WA ZIP 98270 CONTRACTOR PHONE:425-367-7551 CONTRACTOR EMAIL:tOny C@/aWrSeNICeS.COm PRIMARY CONTACT: ❑OWNER m CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:4.253677551 Tony Rommel CONTACT EMAIL:Tony aawrservices.com BUILDING INFORMATION , VALUATION OF WORK:$65000 ASSOCIATED LAND USE PROJECT#(if applica t Q ©1 EfIVE (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:MediCal offices APR 1 0 7074 PROPOSED USE OF BUILDING:MediCal offices HEAT SOURCE: MIGas ['Electric ❑Other CITY OF EVERET Permit Services BUILDING TYPE: ❑SFR ❑Townhouse ODuplex ❑ADU ❑Multi-Family-#Units: Commercial ,Permit Structure TYPE OF PROJECT(check all that apply): ❑New Construction DAddition ❑Remodel ❑Repair ❑T.I. OChange of Use [Nodular ❑Portable ORe-roof ❑Exterior Alteration OTank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) DOther: DESCRIPTION OF WORK: Full roof replacement. Remove existing concrete tile roofing material. Install new '/2" CDX plywood over existing skip sheeting. Install new NuRay metal snap lock roof. Install new ridge vent on hips and top peak of roof. Install new continuous gutters around the building. ACKNOWLEDGEMENT:I have reviewed this appli ation 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 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 a 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 S to C ntractors Law 9 7 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# g240+ _010 � Owner/Autho ized Signature ,D teI (Revised 4/21/2022)