2 W CASINO RD BLDG H 2025-04-07 - Laserfiche WebLink

BL,LDING PERMIT APPLICATIuN CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, wA$HINGTON 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(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 2 West Casino Road PARCEL#: 28041200101400 clT, EVERETT STATE WA Zlp 98204 SUITE/UNIT#: bldg H FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):BLUFFS AT EVERGREEN LEGAL DESCRIPTION for new construction: Short PlaUsubdivision: SEE PLANS Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:BLUFFS AT EVERGREEN EXCHANGE LLC OWNER MAILING ADDRESS: STREET 680 5TH AVE, 17TH FLOOR clTy NEW YORK STATE NY ZIP 10019 OWNER PHONE: OWNER EMAIL: CONTRACTOR COMPANY NAME:BRINC WA STATE CONTRACTOR LICENSE#(REQUIRED):BUILDR1949BQ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 52319 CONTRACTOR ADDRESS: STREET 18386 Redmond Fall City Rd c" Redmond STATE WA ZIP 98052 CONTRACTOR PHONE:425-276-2311 CONTRACTOR EMAIL:pboyd@callbrinc.com PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ✓❑OTHER(Please Specify) authorized agent CONTACT NAME: CONTACT PHONE:206-682-5211 Cassandra / kilburn architects llc CONTACT EMAIL:cassandra@kilburnarchitects.com BUILDING INFORMATION VALUATION OF WORK:$50000 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 actualy paid or not.) EXISTING USE OF BUILDING:MULTI-FAMILY RESIDENTIAL PROPOSED USE OF BUILDING:(NO CHANGES) 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 ❑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: DESCRIPTION OF WORK: Proposed repair of damaged stairs and walkway, and soffit. Framing, sheathing, and gyperete to be replaced in-kind. 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 CASSAN D RA Datea12022.11 07ly signed y11 34 29N08'00CASSADRA 11-7-2022 PERMIT# Owner/Authorized Agent Signature Date (Revised 412112022)