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BU DING PERMIT APPLICATI v <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 INFORMATION:(P)425-257-88101(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 1810 Chestnut Street PARCEL M 00556340502500 <br /> ciTv Everett STATE WA Z,, 98201 <br /> SUITEIUNIT#: 102,202, 302 FLOOR M 1,2,3 ADDITIONAL LOCATION INFORMATION (if applicable):East end of South Bldg. <br /> TENANTIBUSINESS 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: Riverdale 5J LLC (Ryan) <br /> f OWNER MAILING ADDRESS. STREET 2517 Colby Ave <br /> 1 <br /> Everett STATE WA zip 98201 <br /> OWNER PHONE:425-255-0353 OWNER EMAIL: cyan@Williamslnvest.Com <br /> f <br /> I <br /> E <br /> CONTRACTOR COMPANY NAME:Building Resources Inc. <br /> E WA STATE CONTRACTOR LICENSE#(REQUIRED):BUILDRI949BQ ICITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 52319 <br /> CONTRACTOR ADDRESS: STRE1118386 Redmond Way <br /> ctn Redmond sTATE WA ztP 98052-5012 <br /> CONTRACTOR PHONE: 206-851-23558 CONTRACTOR EMAIL:Jboyd@CaIlbrlilC.Com <br /> i <br /> PRIMARY CONTACT: I]OWNER ❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-851-2358 <br /> I <br /> Jesse Boyd CONTACT EMAIL:jbpyd@callbfine.cOm <br /> BUILDING'INFORMATION <br /> VALUATION OF WORK: $200,000 ASSOCIATED LAND USE PROJECT#(if applicable): <br /> i (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 /> i <br /> EXISTING USE OF BUILDING:Mult-Family <br /> PROPOSED USE OF BUILDING:Multi-Family <br /> HEAT SOURCE: ❑Gas ✓❑Electric ❑Other <br /> BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑✓Multi-Family-#Units:301`18 ❑Commercial ❑Accessary Structure <br /> TYPE OF PROJECT(check all that apply): ❑New Construction DAddition ❑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 /> :THE SCOPE OF THIS PROJECT IS TO REPAIR AND REPLACE DAMAGED <br /> FRAMING, MECHANICAL, ELECTRICAL AND FIRE ALARM SYSTEMS, AND <br /> FINISHES DAMAGED BY FIRE, THE DAMAGE WAS CONTAINED TO THREE <br /> UNITS AND THE EGRESS BALCONY. <br /> i <br /> i <br /> i <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 focal taw. 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 /> =erl�pfhorized <br /> Slate Conors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> 5/24/2022 PERMIT# .re Date (Revised 412112022) <br /> E <br />