8410 BROADWAY 2025-09-09 - Laserfiche WebLink

;p ECEOVE BUDDING PERMIT APPLICATIG, EVERETT SUBMITTAL INSTRUCTIONS:See CITY OF EVERETT PERMIT SERVICES OR 2 7 2023 applicable submittal checklist for submittal requirem is nd number of copies required'or review, WASHINGTON then drop off completed application plus all required submittal documents to 320 ja .IdF(dcr IFJF6 brop Box. CONTACT INFORMATION:(P)425 257-8810 I(E)PermitServices@everettwa.gov g v r s (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 8410 BROADWAY PARCEL#: 00393900601304 CITY EVERETT STATE WA ZIP 98208 SUITEWNIT#: FLOOR#: ADDITIONAL LOCATION L-OOCCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): X r (� 1� sTY+" /tM�i Fk CA— LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:BRE/ESA P PORTFOLIO LLC OWNER MAILING ADDRESS: STREET 345 PARK AVE crry NEW YORK STATE NY ZIP 10154 OWNER PHONE: OWNER EMAIL: CONTRACTOR COMPANY NAME:FIKE INDUSTRIAL CONSTRUCTION WA STATE CONTRACTOR LICENSE#(REQUIRED):FIKEIIC877Q5 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET1151 N PITTMAN RD cm WASILLA STATE AK ZIP CONTRACTOR PHONE:TIM IRVIN CONTRACTOR EMAIL: PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME:TI M IRVIN CONTACT PHONE:3602981510 CONTACT EMAIL:TIRVIN@FIKELLC , BUILDING INFORMATION VALUATION OF WORK:$35,000 ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actualy paid or not.) EXISTING USE OF BUILDING:HOTEL PROPOSED USE OF BUILDING:HOTEL HEAT SOURCE: ❑Gas ❑Electric []Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑✓Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑✓Repair ❑T.I. ❑Change of Use ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK: REMOVE EXISTING PLYWOOD SHEATHING AND REPLACE, (2 LOCATIONS 2'x20') 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 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 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, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only 4/26/2 PERMIT# 22^ � �0 � J /� Owner/Authorized Agent Signature Date (Revised 412120222)) �l1