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BL-: 2DING PERMIT APPLICATIL-EVE9 VE <br />. <br />CITY OF EVERETT PERMIT SERVICES Rov <br />E V E R E T T <br />SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requiremnd number of copies required f view, <br />WASHINGTON then drop off completed application plus all required submittal documents toCedaffie&& Q3ntake Box. <br />CONTACT INFORMATION: (P) 425-257-8810 1 (E) PermitServices@everettwa(W) everettwa.gov/permits <br />», . , `Bt�11:DINL3'IN�ORM4►TJON,-.,� �,, <br />VALUATION OF WORK: $150,000 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: Retail <br />PROPOSED USE OF BUILDING:Retail Restaurant <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: Demolish existing partitions and fixtures for new tenant fit -Out. <br />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 <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 />Digitally signed by Mark Kim _ <br />IJ C=USE=mkim331@hotmail.com,tGPERMIT # <br />03/20/2023Mark Kim arKm P, -a 30 Q `� <br />Date: 2023.03.26 21:57:29-07'00' <br />Owner/Authorized Agent Signature Date (Revised 412112022) <br />