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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: STREET 830 80TH Street SW PARCEL#: 28041200305300 <br /> cITY Everett STATE WA Zip 98203 <br /> SUITE/UNIT#: 400/Building B FLOOR#: 1 ADDITIONAL LOCATION INFORMATION (if applicable): All of building B <br /> TENANT/BUSINESS NAME(if non-residential):Applied Control <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: See attached Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:Covewood Manor, LLC <br /> OWNER MAILING ADDRESS: STREET P.O. Box 1301 <br /> CITY Seahurst STATE WA zIP 98062 <br /> OWNER PHONE:206-818-5363 OWNER EMAIL: undev@hotmail.com <br /> CONTRACTOR COMPANY NAME: Davis Schueller Construction <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED): DAVISS1105PN CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 026267 <br /> CONTRACTOR ADDRESS: STREET 4601 Chennault Beach Rd., Suite 200 <br /> CITY Mukilteo STATE WA ZIP 98275 <br /> CONTRACTOR PHONE: 425-775-9400 CONTRACTOR EMAIL:cstockburger@davisschueller.com <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) Architect(Lance Mueller Architects) <br /> CONTACT NAME: CONTACT PHONE:206-325-2553 ext. 4 <br /> Harold Christensen CONTACT EMAIL:haroldc@lmueller.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK: $ 35,400 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:Office/Warehouse <br /> PROPOSED USE OF BUILDING:Office/Warehouse. One tenant will occupy entire building. <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 El Exterior Alteration ❑Tank(above ground) ❑Accessory Structure <br /> ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: <br /> DESCRIPTION OF WORK:APPLIED CONTROL IS TAKING OVER SPACE FORMERLY USED BY RENU MEDICAL. A <br /> PARTIAL HEIGHT WALL AND MOST OF THE DEMISING WALL SEPARATING APPLIED <br /> CONTROL FROM RENU MEDICAL SPACE WILL BE DEMOLISHED. TWO NEW CLOSETS <br /> WILL BE CREATED. ONE FOR ELECTRICAL PANEL/TRANSFORMER PROTECTION AND <br /> ANOTHER A WATER HEATER. A NEW DOOR WILL BE ADDED TO ACCESS THE EXISTING <br /> BREAK ROOM FROM THE WAREHOUSE. NO NEW USEABLE ARE CREATED. <br /> ACKNOWLEDGEMENT:1 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# <br /> Owner/Authorized Agent Signa re Date (Revised 412112022) <br />