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BUILDING PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT <br /> 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 I(E)everetteps@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 7400 Hardeson Road PARCEL#: 28041200200700 <br /> crry Everett STATE WA zip 98203 <br /> SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANT/BUSINESS NAME(if non-residential):Sunbelt Rentals <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:Sunbelt Rentals-Jeff Thumm <br /> OWNER MAILING ADDRESS: STREET 2341 Deerfield Drive <br /> CITY Fort Mill STATE SC ZIP 29715 <br /> OWNER PHONE:803 578 5951 OWNER EMAIL: jeffrey.thumm@sunbeltrentals.com <br /> CONTRACTOR COMPANY NAME:Wilcox Construction <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):WILCOC*194Q0 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 25559 <br /> CONTRACTOR ADDRESS: STREET 234 5th Ave. S <br /> CITY Edmonds STATE WA ZIP 98020 <br /> CONTRACTOR PHONE:425 774 4185 CONTRACTOR EMAIL:ktrester@wilcoxconstruction.com <br /> PRIMARY CONTACT: ❑OWNER E CONTRACTOR ❑✓ OTHER(Please Specify) Architect <br /> CONTACT NAME: CONTACT PHONE:206 842 1253 <br /> Carlos Alvarez CONTACT EMAIL:carlos@3rkarchitecture.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK: $70,000 ASSOCIATED LAND USE PROJECT#(if applicable): <br /> (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) <br /> EXISTING USE OF BUILDING:STORAGE YARD <br /> PROPOSED USE OF BUILDING:STORAGE YARD <br /> HEAT SOURCE: ❑Gas ❑Electric ❑Other <br /> BUILDING TYPE: ESFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑✓Accessory Structure <br /> TYPE OF PROJECT(check all that apply): ❑New Construction ©Addition ❑Remodel ❑Repair ❑T.I. ❑Change of Use <br /> ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration ETank(above ground) ©Accessory Structure <br /> ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: <br /> DESCRIPTION OF WORK: <br /> Addition of a metal utility shed to existing commercial property. <br /> 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 <br /> 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 <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 is 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 /> PERMIT# I `� !�- <br /> 6/16/2021 5 2 h O l O 0 I <br /> Owner/ thorized A ent Signature Date (Revised 2/8/2021) <br />