3726 BROADWAY MOUNTAIN PACIFIC BANK 2025-04-11

lki BDING PERMIT APPLICATI CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements and number of copies required for review, WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. CONTACT INFORMATION:(P)425-257-8810 I(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 3726 BROADWAY PARCEL#: 01060600000100 CITY EVERETT STATE WA Zip 98201 SUITE/UNIT#: 108 FLOOR#: 1 ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):Mountain Pacific Bank LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Mark Duffy OWNER MAILING ADDRESS: STREET 3726 Broadway, Suite 302 CITY Everett STATE WA zip 98201 OWNER PHONE:425-263-3524 OWNER EMAIL: mduffy@mp.bank CONTRACTOR COMPANY NAME: CI4-(1 ►(RT 36o gyeoevg-t Cpr1T s LLB WA STATE CONTRACTOR LICENSE#(REQUIRED): r7A-MIXT,36e0qAtiCITY OF EVERETT BUSINESS LICENSE#(REQUIRED): (grj 07 9 CONTRACTOR ADDRESS: STREET 3 7?6 .aie-d7,v w/�'!1 rCI�TY Cr V.t2 t �s STATE WA- ZIP 963 cOI CONTRACTOR PHONE: (401�'o5(2"p`•210 CONTRACTOR EMAIL: So P_ gA.A.4.44* `,F� vCQ'V\ PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR WI OTHER(Please Specify) Architect rJ CONTACT NAME: Mj 19fj /o.tkfirff • CONTACT PHONE:425-259-0868 1501-6 t4/ 1ya l'l ot i( AVClV'I' rCt!1-5 CONTACT EMAIL:miles@bnharch.com BUILDING INFORMATION VALUATION OF WORK:$120,000 ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) EXISTING USE OF BUILDING:B PROPOSED USE OF BUILDING:B HEAT SOURCE: ❑✓Gas ❑Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair IZiT.I. ❑Change of Use ❑Modular ❑Portable ORe-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK: New Interior non-bearing partition walls for new offices, acoustical cieling, lighting and casework and sink in break room. 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 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 Building Official before being authorized under any circumstance.1 am the owner,or lam authorized by the owner of this property to perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only / . PERMIT# 2 Owner/Authorized Agent Signature Date / (Revised 4/21/2022)