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BUILDING PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />EVERETTSUBMITTAL 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 I NFORMATION: (P) 425-257-88101 (E) PermitServices@everettwa.gov I (W) everetwa.gov/permits <br />(Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: STREET 6501 Rainier Dr. PARCEL #: <br />ary Everett STATE WA zP 98203 <br />SUITEIUNIT #: FLOOR #: ADDITIONAL LOCATION INFORMATION (if applicable): <br />TENANT/BUSINESS NAME (if non-residential): <br />LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: Ironwood comercial real state <br />OWNER MAILING ADDRESS: STREET 7918 Green Lake Dr. N. <br />CITY Seattle STATE WA zP 98103 <br />OWNER PHONE:+1 (206) 533-5090 <br />1OWNER EMAIL: dpenhollow@iwcre.com <br />CONTRACTOR COMPANY NAME: Major Remodeling <br />WA STATE CONTRACTOR LICENSE #(REQUIRED): Majorr'842pJ <br />ICITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 66492 <br />CONTRACTOR ADDRESS: STREET 11130 Paine field Way <br />aTy Everett STATE WA ZIP <br />CONTRACTOR PHONE: (206)850-0648 <br />1CONTRACTOR EMAIL: Ramonmaresj@gmail.com <br />PRIMARY CONTACT: ❑ OWNER ✓❑ CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />Ramon Mares <br />CONTACT PHONE: (206)850-0648 <br />ICONTACT EMAIL:Ramonmaresj@gmail.COm <br />BUILDING INFORMATION <br />VALUATION OF WORK: s 40000 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: Warehouse <br />PROPOSED USE OF BUILDING: <br />HEATSOURCE: ❑✓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: <br />Build a Partition wall <br />New restroom (toilet, lavatory) <br />Utility room ( mop sink ) <br />ACKNOWLEDGEMENT/ 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 1 am authorized by the owner of this property to perform the work for which application is made, <br />and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />City of Everett Official Use Only <br />PERMIT # B2304-029 <br />(Revised 4212022) <br />