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B' _DING PERMIT APPLICAT'`)N <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements and number of copies required for review, <br /> WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. <br /> CONTACT INFORMATION: (P)425-257-8810 1(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 5900 36th Ave West-Building B-SUITE 400 PARCEL#: 28040300200100 <br /> CITY Everett STATE WA ZIP 98203 <br /> SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANT/BUSINESS NAME(if non-residential):FAST SIGNS TI <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:Bridge Point Everett 500 LLC <br /> OWNER MAILING ADDRESS: STREET 10655 NE 4th St, Suite 212 <br /> CITY Bellevue STATE WA ZIP 98004 <br /> OWNER PHONE: [�ZS— 3_ �3 OWNER EMAIL: smayes@bridgeindustdal.com <br /> CONTRACTOR COMPANY NAME: Northway <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> CONTRACTOR ADDRESS: STREET 1433 Valentine Ave SE,#102 <br /> CITY Pacific STATE WA ZIP 98047 <br /> CONTRACTOR PHONE:253.735.8100 CONTRACTOR EMAIL:lason@northwayinc.com <br /> PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR 0 OTHER(Please Specify) Architect <br /> CONTACT NAME: CONTACT PHONE:206.228.8000 <br /> Randy Brown CONTACT EMAIL:Randy.Brown@synthesispllc.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK:$662,007 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:Industrial Shell <br /> PROPOSED USE OF BUILDING:Storage with accessory office areas <br /> HEAT SOURCE: OGas ❑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 ZT.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) ❑Other: <br /> DESCRIPTION OF WORK: New Offices within an existing Industrial Shell. <br /> Racking, HVAC, Electrical and Plumbing will be submitted s marately <br /> D IECEOV F <br /> MAR 14 2024 <br /> GITIYE)F EVERETT <br /> ACKNOWLEDGEMENT.'1 have reviewed this application and confirm the information contained herein is true and correct. Work done pursuaRe m"itns e"icset,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 Contracto L w 18.27 RCW and 296.200A WAC. <br /> C City of Everett Official Use Only <br /> PERMIT# r <br /> � l3 Z0Z i� U�- � <br /> Owner/Ault2ri.zedAgent Signa ate (Revised 412112022) <br />