10633 EVERGREEN WAY 2025-01-10 - Laserfiche WebLink

BUISNG PERMIT APPLICATIO• 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 I(E)PermitServices@everettwa.gov I(W)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:RMS LLC WA STATE CONTRACTOR LICENSE#(REQUIRED):RICKYMS780KU CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 67306 CONTRACTOR ADDRESS: STREET 1429 Ave D PMB 254 CITY Snohomish STATE WA ZIP 98290 CONTRACTOR PHONE:(360)470-9826 CONTRACTOR EMAIL:ricksuggs66@gmail.com PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-760-3546 Brian Fisher CONTACT EMAIL:bfisher@rairdon.com EciEgva 'BUILDING INFORMATION D VALUATION OF WORK: $34,000.00 ASSOCIATED LAND USE PROJECT#(if applicabl MAY U 8 2024 (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 CI r-Y OF EVtKtI I PROPOSED USE OF BUILDING:Same Permit Services HEAT SOURCE: ✓❑Gas ❑Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ElDuplex ❑ADU ❑Multi-Family-#Units: ✓❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair ❑T.I. ❑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 (1) Hunter RX-10-PS above ground drive on alignment lift rack 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 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 ',,,v t / / / PERMIT# 1. Owner/AuthoriteW AgentS1gnature Date (Revised 4/21/7022)