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mos <br /> 11____DING PERMIT APPLICATION <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 I(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 7720 Hardeson Road PARCEL#: 00412300000200 <br /> CITY Everett STATE WA zip 98203 <br /> SUITE/UNIT#: N/A FLOOR#: 1 ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANT/BUSINESS NAME(if non-residential):K&H Integrated Print Solutions <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: N/A Lot No.: N/A (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:RH SeaProp Associates, LLC dba SeaProp Industrial Building <br /> OWNER MAILING ADDRESS: STREET 1800 112th Ave. NE, Suite 310 <br /> CITY Bellevue STATE WA ZIP 98004 <br /> OWNER PHONE:425-289-2215 OWNER EMAIL: stan@rosenharbottle.com <br /> CONTRACTOR COMPANY NAME:Sea Con, LLC <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):SEACOL*012R7 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 61846 <br /> CONTRACTOR ADDRESS: STREET 165 NE Juniper St., Suite 100 <br /> CITY Issaquah STATE WA zip 98027 <br /> CONTRACTOR PHONE:425-837-9720 CONTRACTOR EMAIL:ereese@seaconllc.com <br /> PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) Architect(Veer Architecture,PLLC) <br /> CONTACT NAME: CONTACT PHONE:425-401-6828 x101 <br /> Kent Smutny CONTACTEMAIL:kent@veerarchitecture.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK: $194,000. ASSOCIATED LAND USE PROJECT#(if applica tccums <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 <br /> PROPOSED USE OF BUILDING:Industrial AUG 2 Z 2023 <br /> HEAT SOURCE: ❑�Gas ❑Electric ❑other CITY OF EVERETT <br /> BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial Epennitaerites <br /> TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel Repair ❑✓T.l. ❑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 /> Tenant improvement work to include creating a new opening in a structural concrete <br /> wall, Install of roll-up doors in structural concrete wall openings, demolition of interior <br /> partitions, construction of interior partitions. Partial infill of exterior role-up door <br /> openings and replacement of role-up doors. <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.I am the owner, or I am authorized by the owner of this property to perform the work for which application is made, <br /> and!comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> 8- 1 6 2 3 PERMIT# 23D� 05 <br /> Owner/Authori a gent Signatur Date (Revised 4/21/2022) <br />