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BOLDING PERMIT APPLICAilipN <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT <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 I (E)PermitServices@everettwa.gov I (W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 1919 Hewitt Ave PARCEL#: 00439166401400 <br /> CITY Everett STATE Wa ZIP 98201 <br /> SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANT/BUSINESS NAME(if non-residential):Brooklyn Brothers Pizzeria <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: E°eie°el" 6"' '°'""^'°'° Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:Jonny Elia <br /> OWNER MAILING ADDRESS: STREET 1919 Hewitt Ave <br /> CITY Everett STATE WA ZIP 98201 <br /> OWNER PHONE:425.258.6900 OWNER EMAIL: jonny@bbpmenu.com <br /> CONTRACTOR COMPANY NAME:TBD ��'111 ,S �/�� - ( L 'c' €7/R .I24 Sir) 10 <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):lt�1�1Q'9 ?4 CITY OF EVERETT BUSINESS LICENS ( j��t1'REQUIRED): �i <br /> CONTRACTOR ADDRESS: STREET s‘q� <br /> �:t (C1/4) <br /> clTv srATE „ , <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: t <br /> p Architect <br /> PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206.890.8348 � �F , NI\ <br /> 1 <br /> Shin Goto CONTACT EMAIL:shing@dykeman.net C\ — <br /> ?e"�� <br /> BUILDING INFORMATION <br /> VALUATION OF WORK: $1 50,000.00 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:CommeriCal <br /> PROPOSED USE OF BUILDING:Commerical - unchanged <br /> HEAT SOURCE: ❑Gas ❑✓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 ❑T.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:Work limited to removal of existing exterior single-pane windows and supporting half <br /> walls along Hewitt and Lombard streets and (2) sets of glazed entry doors. Windows <br /> and doors to be replaced with new. <br /> 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 <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 /> 6.5.2024 PERMIT# <br /> p:72 <br /> 40s - )1s- <br /> Owner/Authorized Agent Signature Date (Revised 4/21/2022) <br />