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/I BUILDING PERMIT APPLICATION <br />CITY OF EYERETT'PERMiT SERVICES <br />E.V E R E T T SUBMITTAL INSTRUCTIONS- See applicable submittaftheckiistfor subrT4tal requirements and number of copies required for review, <br />wASHINOTON then'drop off completed application. plus all required: submittal documents,to 3200 Cedar StreeI116d F.loot l,ntake Drop Bo' <br />; <br />CONTACTINFORMATION: (P) 425=257-8810'j (E) Permi18ervlces@everettwa.9ou i (W),everettwa.gov/permits <br />(BCue oryB(acl Ir k only Pease) r „ i, .. Ro l»c7` t Tit 11�PORMQTI'f2N° , , f , , <br />PROJECT SITE ADDRESS: STREET 0530 Evergreen Way PARCEL #c 28041300100800 <br />CITY Everett STATE, WA ZIP 9028 <br />SUITEIUNiT #: 4 FLOOR #: 1. ADDITIONAL:LOCATIONINFORMATIOW.(ifapp(icable) <br />TENANT/BUSINESS.NA ME'(if non-residential): Happy (_t;IYIOn. <br />LEGAL.DESCRIPTION for new construction: Short Piat/sUbdivislon: On.Plan Set Lot No,:.D (attach copy of long'legat'descripiion) <br />77 <br />co14t INFORMATION: , £ M <br />OWNER NAME: Pradsanee Tipyasothi <br />OWNER MAILING ADDRESS: sTREeT 923 2-1.31 st SE. <br />CITY Bothell, STATE WA zip 98021 <br />OWNER. PHONE:425.260.29911 OWNER EMAIL: permit@catchstudib.com <br />CONTRACTOR;COMPANY NAME: Kon: Chin <br />WA STATE CONTRACTOR t:ICEN$E.'#(REQUIRED): <br />WESTCPM027P0. ICITYOF,EVERETT:BUSINESS�,LICENSE.#(REQUIREP).,SC-y�l-�� <br />CONTRACTOR'.ADbRESS: sTREET12518 NE;'163rd.St <br />clTv Woodinville STATE WA iIP 9$072' <br />PRIMARY CONTACT: 0,0WNER ❑CONTRACTOR 010THER"(Pleas.e.Specify) Architectural Designer - <br />CONTACT NAME: CONTACT PHONE 20G322 4323 <br />Nosffir CONTACT EMAIL: permit@catctistudiO <br />1/1 <br />BU <br />HEAT SOURCE: ❑Gas ©Electric E]Other <br />BUILDING TYPE: O.SFR ElTownhouse ❑Duplex OADU OMulti-Family- # Units: ®Cgmmercial QAccessory'Structure <br />TYPE OF PROJECT (check allahahapply): ❑New Construction OAddition ORemodef (Repair QT.I, �lCtiange of Use <br />[]Modular OPortable ❑Re -roof ClExterior Alteration ❑Tank {above gro(tnd) (]Accessory Structure <br />Fence over 7ft high ORackStorag& []Pool/Hot Tub []Tank (above'ground) MOtIlpr. <br />DESCRIPTION OF WORE(:.commeraiai tenant improvem:erit. establishing, coMirnerdial kitchen for b=Cafe'. adding <br />interior equipment, plumbing, interior finishes and all` Work on interior::. <br />APR 19 2024 <br />ACKNOWLEDGEMENT.• i have reviewed this application and confirm the inNnnation contained herein is true and correct.. A ,� done ��Igqrs F167 Jis�)MAitl must. comp/yWith <br />current federal, state and localtaW. The granting of a permit poty authodips.approved work and no dediations therefrom. DeLial?w�r list � t d in writing,froin the <br />Building Olficialbeiore being,authorized'ander any'circuinslance. ? am the owner, or lam:authonz'ed by the owner of this Operly fo:perforin the woik for which'epplication is made, <br />and r comply with the State Contractors Laty 18.27 RCW and 296:200A WAC, <br />City of:Everett O(fklal Use Only <br />04.0402024 PERMIT,# 3t; q0 <br />Owner/Authorized Agent Signature Date (Revised-4/21/2022) <br />