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

BL.i-DING PERMIT APPLICATIuA CITY OF EVERETT PERMIT SERVICES EVERETTSUBMITTAL 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@everetlwa.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 ZJP 98204 SUITE/UNIT#: BLDG F FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):BLUFFS AT EVERGREEN LEGAL DESCRIPTION for new construction: Short Plat/subdivision: 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 CITY 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 cm Redmond STATE WA ZIP 98052 CONTRACTOR PHONE:425-276-231 1 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 actually 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..l 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 Mork and no deviations therefrom.Deviations must first be authorized in writing from the Building Official before being authorized under any circumstance.l am the owner,or i am authorized by the owner of this property to perform the work for which application is made, and l comply with the State Contractors Law 18.27 RCW and 296.200A WAG City of Everett Official Use Only DigitCASSADRA CASSAN D RA Dateal 022.11 07ly signedy11 34:45N08 0' 11-7-2022 PERMIT# �3 7 Z I 1 _ 0 Owner/Authorized Agent Signature Date (Revised 412112022)