2810 COLBY AVE 2025-04-14 - Laserfiche WebLink

MLDING PERMIT APPLICA1N CITY OF EVERETT PERMIT SERVICES EVERETT 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 l(E)PermitServices@everettwa.gov l(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 2810 Colby Ave. PARCEL#: 000439166802200 crfy Everett STATE WA Zip 98201 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): Ice Cream Bar LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Block 668 D-00 Lot No.: 2 2 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Emily Nelson OWNER MAILING ADDRESS: STREET 4601 31st Ave. SE c,T Everett STATE WA ZIP 98203 OWNER PHONE: OWNER EMAIL: emily.jb.nelson@gmail.com CONTRACTOR COMPANY NAME:TBD J D)( quvur Q,Q Co-mint WA STATE CONTRACTOR LICENSE#(REQUIRED): BLO)W-I 159 BD CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 4(p 7/ 7 CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: D OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:(425)252-2153 Clinton Johnson, Adam Clark CONTACT EMAIL:clint@2812architecture.com,adam@2812architecture.com BUILDING INFORMATION VALUATION OF WORK:$300,000 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:none PROPOSED USE OF BUILDING:Restaraunt 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 CIT.I. ❑Change of Use ❑Modular EPortable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK: Tennant Improvement of existing space, construction of interior walls, floors, ceilings and kitchen, see Architectural Plans. FEB 16 2024 CITY n,_ :r.'',le r _!9 � ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct.Work done pursuant td ti 'e girll'tnulcnlaiim{ tl� 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 �) I j( /7,-14- PERMIT# Owner/Authorized Agent Signature Date (Revised 4/21/2022)