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• <br /> BUILDING PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT 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 l(E)PermitServices@everettwa.gov l(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 1620 75th St SW PARCEL#: 28041100101400 <br /> crr Everett STATE WA zip 98203 <br /> SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION(if applicable): <br /> TENANT/BUSINESS NAME(if non-residential):Alpine Cleaning&Restoration <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:Kazgo LLC l Kevi n Ka c.z Ica) <br /> OWNER MAILING ADDRESS: STREET 2221 Oak Rd <br /> cnr Lynnwood STATE WA zip 98087 <br /> OWNER PHONE: 14a5-II 60'3'4al OWNER EMAIL: K i,n.Kc c2.kq ( atP'naCteArt;n1•ne+ <br /> CONTRACTOR COMPANY NAME:AMAROK,LLC <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):CC ELECTGD766JE CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 57096 <br /> CONTRACTOR ADDRESS: STREET 550 Assembly St,5th Floor <br /> crrtr Columbia STATE SC zip 29201 <br /> CONTRACTOR PHONE:803-904-2544 CONTRACTOR EMAIL:binabinet@amarok.com <br /> PRIMARY CONTACT: ❑OWNER to CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: 4,4, I,, CONTACT PHONE:803-904-2544 <br /> Bobby Inabinet CONTACT EMAIL:binabinet@amarok.com <br /> BUILDING INFORMATION CeN/ <br /> VALUATION OF WO .$28,692 ASSOCIATED LAND USE PROJECT#(if ap 1 . <br /> (Valuation shall Include th prevailing fair ague of all labor,mptedals,and equipment needed to complete the work,whether actually paid s 2024 <br /> 0 4 <br /> EXISTING USE OF :639-Other Business Services NEC JUN L <br /> PROPOSED USE OF BUILDING:639-Other Business Services NEC c'.j of 0 ` ERE <br /> HEAT SOURCE: OGas ❑Electric ❑Other Ptarmit Services <br /> BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial 23Accessory Structure <br /> TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Change of Use <br /> ❑Modular OPortable ORe-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: <br /> Installation of 10'tall, 12V/DC battery operated, solar charged, security system fence. <br /> Security system is independent of building's power and will be inside the existing <br /> perimeter fence. <br /> ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is hue and correct Work done pursuant to this permit must comply with <br /> current federal,state,and local law.The granting of a pemiil 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 Ls 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 /> 27-.2Y PERMIT# 401, <br /> Owner/Authorized Agent Signature Date (Revised 4/2i/1022) <br />