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BUILDING 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 1 (E)PermitServices@everettwa.gov i(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 1602 Hewitt Ave PARCEL#: 00644968300300 <br /> cITY Everett STATE WA z,p 98201 <br /> SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANT/BUSINESS NAME(if non-residential):Bank Of America <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:1602 Hewitt LLC <br /> OWNER MAILING ADDRESS: STREET PO Box 5267 <br /> CITY Everett STATE WA ZIP 98206 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR COMPANY NAME:LOberg Roofing <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):LOBERR*972K8 I CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 41486 <br /> CONTRACTOR ADDRESS: STIEET5800 188th Street SW, Suite A <br /> CITY Lynnwood STATE WA ZIP 98037 <br /> CONTRACTOR PHONEA25-775-2276 CONTRACTOR EMAIL:thor@lobergroofing.com <br /> PRIMARY CONTACT: ❑OWNER NTRACTOR HER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-770-9725 <br /> Thor AI lestad CONTACT EMAIL:thor@lobergroofing.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK: $451,000.00 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:Office <br /> PROPOSED USE ILDI <br /> HEAT SOURCE: s ctric er <br /> BUILDING TYPE: R wnhouse lex U '-Family- its: cial cessory Structure <br /> T OF PRC}.I�rT(check at apply w Construct' dition pair ange of Use <br /> du <br /> lar Urtable roof rior Alteration nk(above ground) cessory Structure <br /> nce over 7ft high ckStorage of/Hot Tub nk(above ground) er: <br /> DESCRIPTION OF WORK:Recover existing lower roof with 3-ply Torch Applied Roof System; Remove existing <br /> upper roof and penthouse down to substrate; install full taper system w/ average R-38; <br /> Install Coverboard; Install 3-ply Torch Applied Roof System <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 1 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 /> 8/12/2024 PERMIT# <br /> Owner/Authorized Agent Signature Date (Revised 412112022) <br />