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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 1 (E)PermitServices@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET906 SE EVERETT MALL WAY, BLD. III PARCEL#: 28051800305401 <br /> ,,Ty EVERETT STATE WA z,p 98208 <br /> SUITE/UNIT#: 501 FLOOR#:5 ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANT/BUSINESS NAME(if non-residential): REDWOOD <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:PJP 5, LLC <br /> OWNER MAILING ADDRESS: STREET 7525 SE 24TH STREET, SUITE 300 <br /> CITY MERCER ISLAND STATE WA ZIP 98040 <br /> OWNER PHONE:206-607-6021 1OWNER EMAIL:danny@pjpnW.001T1 <br /> CONTRACTOR COMPANY NAME:AVARA CONSTRUCTION <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):AVARACI824BR CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 63222 <br /> CONTRACTOR ADDRESS: ITREET15333 NE 90TH ST, SUITE 140 <br /> CITY REDMOND STATE WA ZIP 98052 <br /> CONTRACTOR PHONE:206-365-4440 1CONTRACTOR EMAIL:build@avalaCOnStruCtIOn.001T1 <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify)ARCHITECT <br /> CONTACT NAMEXEVIN BRODERICK CONTACT PHONE:206-682-7525 <br /> CONTACT EMAIL:keVln@bCOdeCICkaPCIllteCtS.COn1 <br /> BUILDING INFORMATION <br /> VALUATION OF WORK: s300,000 1ASSOCIATED 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:B-OFFICE <br /> PROPOSED USE OF BUILDING:NO CHANGE <br /> HEAT SOURCE: [-]Gas ❑Electric ❑Other <br /> BUILDING TYPE: ❑SFR ❑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 [-]Tank(above ground) ❑Accessory Structure <br /> ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: <br /> DESCRIPTION OF WORK:INTERIOR OFFICE TENANT IMPROVEMENT ON THE 5TH FLOOR. SCOPE TO <br /> INCLUDE SELECTIVE DEMOLITION OF EXISTING WALLS TO CREATE NEW <br /> OFFICE, CONFERENCE ROOM, TRAINING ROOM, RECEPTION AND BREAK <br /> ROOM IN SUITE 501 . NO EXTERIOR WORK INCLUDED. NO CHANGE IN <br /> OCCUPANCY. <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 1 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 /> - -�-_�--7- PERMIT# <br /> -� --- 09.10.24 <br /> Owner/Authorized Agent Signature Date (Revised 412112022) <br />