10633 EVERGREEN WAY 2025-01-10 - Laserfiche WebLink

•ILDING PERMIT APPLICAJN 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 1(E)PermitServices@everettwa.gov I(VV)everettwa.gov/permits (Blue or Black Ink Only Please) ' PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 10633 Evergreen Way PARCEL#: 28042400203200 CITY Everett STATE WA ZIP 98204 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): FLEX BLDG TENANT/BUSINESS NAME(if non-residential):Rairdon's Volkswagen of Everett LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:RAG Everett LLC OWNER MAILING ADDRESS: STREET 22102 17th Ave SE, Suite 100 CITY Bothell STATE WA zip 98021-7452 OWNER PHONE:425-348-3141 OWNER EMAIL: grairdon©rairdon.com CONTRACTOR COMPANY NAME:Vehicle Equipment Solutions WA STATE CONTRACTOR LICENSE#(REQUIRED):VEHICE1974C7 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 51635 CONTRACTOR ADDRESS: STREET 309 S Clover St CITY Seattle STATE WA ZIF 98108 CONTRACTOR PHONE:206-818-6479 CONTRACTOR EMAIL:mikekenny©vehicleequipmentsolutions.com PRIMARY CONTACT: OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-760-3546 Brian Fisher CONTACT EMAIL:bfisher©rairdon.com EVE DI 1 BUILDING INFORMATION (J 18,000.00 MAY 0 8 2024 VALUATION OF WORK:$ 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:Automotive Repair/Maintenance CITY OF EVERETT PROPOSED USE OF BUILDING:Same Permit SQrvio HEAT SOURCE: ❑✓Gas ❑Electric Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: E 1Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair ❑T.l. ❑Change of Use ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑✓Other:Vehicle Lifts DESCRIPTION OF WORK: Install (2) Rotary SPOA10 10,000 lb asymmetrical non-seismic two post vehicle lits anchored to manufacture specifications. 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 current federal,state,and ocal law. The grantingof apermit onlyauthorizes approved work and no deviations� Pp e ahons 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 /7 PERMIT# O ) 62405 19 Owner/Authorized Agent Signature Date (Revised 4/21/2022) r