1617 BROADWAY 2025-11-03 - Laserfiche WebLink

0BUILDING PERMIT APPLICATION EVERETT CITY OF EVERETT PERMIT SERVICES SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. CONTACT INFORMATION: (P)425-257-8810 1(E)PermitServices@everettwa.gov i(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1617 Broadway Ave, Everett WA PARCEL#: 00438233500400 cITY Everett STATE WA ZIP 98201 SUITE/UNIT M FLOOR M ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):Autozone 3382 LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Everett Div N Plat of Blk 335 Lot No.:4-9 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Sycamore Lane Aggies LLC c/o AutoZone OWNER MAILING ADDRESS: STREET 123 S Front St, PO Box 2198 CITY Memphis STATE TN Z1P 38101 OWNER PHONE:9014956054 1OWNER EMAIL: CONTRACTOR COMPANY NAME:Royalty Roofing USA LLC WA STATE CONTRACTOR LICENSE#(REQUIRED):CC ROYALRU768N6 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET2099 E Tipton St CITY Seymour STATE IN Z1P 47274 CONTRACTOR PHONE:812-523-8392 1CONTRACTOR EMAIL:IICensing licensing@royaltyroofing.com PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:812_523_$392 LeAnn Sweeney CONTACT EMAIL:licensing@royaltyroofing.com BUILDING INFORMATION VALUATION OF WORK: $40515 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 actually paid or not.) EXISTING USE OF BUILDING:Mercantile PROPOSED USE OF BUILDING:No change 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:Install separator sheet and single ply membrane over the existing flat roof. No structural changes ROOF RE-COVER per IBC 1512.2.1. 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 �ee ��05/1�4/2025� PERMIT# 62505-063 Owner/Authorized Agent Signature Date (Revised 412112022)