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B' LDING PERMIT APPLICA" A <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <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 3015 9th Street Building 4(NE) PARCEL#: 29051700102300 <br /> CITY Everett STATE WA ZIP 98201 <br /> SUITE/UNIT#: 133,233,333 FLOOR#: 1.2 and 3 ADDITIONAL LOCATION INFORMATION (if applicable): Bldg.4 <br /> TENANT/BUSINESS NAME(if non-residential): <br /> LEGAL DESCRIPTION for new construction: Short PlaUsubdivision: See attached legal desc. Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:GJJ Williams Investments LLC <br /> OWNER MAILING ADDRESS: STREET 2517 Colby Avenue <br /> CITY Everett STATE WA ZIP 98201 <br /> OWNER PHONE:425-355-0353 OWNER EMAIL: ryan@williamsinvest.com <br /> CONTRACTOR COMPANY NAME:Building Resources, Incorporated <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):BUILDR1949BQ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 52319 <br /> CONTRACTOR ADDRESS: STREET 18386 Redmond-Fall City Rd <br /> CITY Redmond STATE WA ZIP 98052 <br /> CONTRACTOR PHONE:206 852 0082 CONTRACTOR EMAIL:pboyd@callbrinc.com <br /> PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) Doug Hotius.Dykeman Architects <br /> CONTACT NAME: CONTACT PHONE:206 795 2192 <br /> Doug Hofius CONTACT EMAIL:dough@dykeman.net <br /> BUILDING INFORMATION <br /> VALUATION OF WORK: $120,000 �p(7 1ATED LAND USE PROJECT#(if applicable): <br /> (Valuation shall include the prevailing fair marke alue of all labor,materials,ancT equipment needed to complete the work,whether actually paid or not.) <br /> EXISTING USE OF BUILDING'I�ulti-family apartments <br /> PROPOSED USE OF BUILDING:Multi-family apartments <br /> HEAT SOURCE: ❑Gas DElectric ❑Other <br /> BUILDING TYPE: ❑SFR []Townhouse []Duplex ❑ADU Z Multi-Family-#Units:3 ❑Commercial ❑Accessory Structure <br /> TYPE OF PROJECT(check all that apply): []New Construction ❑Addition ❑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:Fire Damage <br /> DESCRIPTION OF WORK: FIRE DAMAGE REPAIR TO BUILDING 4. THE SCOPE OF <br /> WORK SHALL INCLUDE REMOVAL AND REPLACEMENT OF <br /> DAMAGED FRAMING, MECHANICAL, ELECTRICAL, FIRE <br /> ALARM SYSTEMS, AND FINISHES. REPAIRS WILL INCLUDE <br /> REPLACEMENT OF ROOF TRUSSES, ROOF DECK, <br /> ROOFING, REPLACEMENT OF EXTERIOR WINDOWS AND <br /> DOORS, AND SIDING/SHEATHING REPLACEMENT. <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 I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> 27 �Z PERMIT# Q�� <br /> Owner/Authorized Age t ignature Date (Revised 412112022) l <br />