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B' _DING PERMIT APPLICAT_ )N <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 5900 36th Ave west-Building C PARCEL#: 28040300200100 <br /> CITY Everett STATE WA ZIP 98203 <br /> SUITE/UNIT#: Bldg C-suite too FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANT/BUSINESS NAME(if non-residential):Sports Art <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:Bridge Point Everett 500 LLC <br /> OWNER MAILING ADDRESS: STREET 10655 NE 4th St, Suite 212 <br /> Cn-Y Bellevue STATE WA ZIP 98004 <br /> OWNER PHONE:425.533.1360 OWNER EMAIL: smayes@bridgeindustrial.com <br /> CONTRACTOR COMPANY NAME:Westrock Construction <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):WESTRCL814QK CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 61883 <br /> CONTRACTOR ADDRESS: STREET5418 1123rd Ave NE <br /> clTr Lake Sevens STATE WA ZIP 98253 <br /> CONTRACTOR PHONE:(206) 850-8542 CONTRACTOR EMAIL:ion@westrockcon.com <br /> PRIMARY CONTACT: El OWNER ❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-533-1360 <br /> Spencer Mayes CONTACT EMAIL:smayes@bridgeindustrial.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK: $443,750.00 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:Industrial Shell <br /> PROPOSED USE OF BUILDING:Storage with accessory office areas <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: New Offices within an existing Industrial Shell. <br /> Racking, HVAC, Electrical and Plumbing will be submitted separately E <br /> D Ec�E OV <br /> APR 2 4 2024 t <br /> ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to t+'epr mliJ 7 Wrilti efi <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 /> oig@ally signed by Spencer Mayes PERMIT# A <br /> Spencer Mayes ON:C=US,dusmal.CN-Spencer Mayes <br /> /� / { r 0 5 L <br /> O=Bridge Industrial CN=Spencer Mayes L s/fit-1(l/\1 <br /> Date:2024.04.19 14:00:09-07'00' <br /> Owner/Authorized Agent Signature Date (Revised 412112022) <br />