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1:1E BUILDING PERMIT APPLICA1N <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((E)everetteps@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 2929 Bond St PARCEL#: 00437267600800 <br /> cirr Everett STATE WA zip 98201 <br /> SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANT/BUSINESS NAME(if non-residential): Pacific Security <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: TCI Investments LLC - Chad Parker <br /> OWNER MAILING ADDRESS: STREET 2929 Bond St <br /> crrr Everett STATE WA zip 98201 <br /> OWNER PHONE: 360.739.9134 OWNER EMAIL: cp@parkercOrporation.com <br /> CONTRACTOR COMPANY NAME: Mt Baker Roofing Inc <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED): MTBAKRI055ML CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 61168 <br /> CONTRACTOR ADDRESS: STREET PO Box 31100 <br /> CITY Bellingham STATE WA zta 98228 <br /> CONTRACTOR PHONE: 360.733.01 91 CONTRACTOR EMAIL:Info@mtbakerroofing.com <br /> PRIMARY CONTACT: ❑OWNER ✓❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:360.733.0191 <br /> Emily King CONTACT EMAIL:info@mtbakerroofing.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK: $23,150.00 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:BUSIneSS <br /> PROPOSED USE OF BUILDING:Same <br /> HEAT SOURCE: ❑Gas ❑Electric ❑Other <br /> BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ElCommercial ❑Accessory Structure <br /> TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Change of Use <br /> LiModular ❑Portable ❑✓Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure <br /> ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: <br /> DESCRIPTION OF WORK:REROOF ONLY - remove current roofing material and replace with new roofing <br /> material - new material will be standing seam metal panel <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.1 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# ttiti® ` ® G <br /> Owner/AU orized gent Signature Date (Revised 2/8/2021) /L <br />