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131b.,,`',DING PERMIT APPLICAT-�,_r ril <br />CITY OF EVERETT PERMIT SERVICES <br />EVERETT 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 />jBlue or Black:/nk Only Please) PROJECT SITETMI'NFORMATIQN $ �'• <br />PROJECT SITE ADDRESS: STREET 607 Riverside Road PARCEL #: 2951386 <br />CITY Everett ' STATE WA ZIP 98201 <br />SUITE/UNIT #: 150 FLOOR M 1 ADDITIONAL LOCATION INFORMATION (if applicable): <br />TENANT/BUSINESS NAME (if non-residential): Amazon <br />LEGAL DESCRIPTION for new construction: Short Plat/subdivision: 8 Lot No.: 5 (attach copy of long legal description) <br />7th, <br />OWNER NAME: Amazon <br />OWNER MAILING ADDRESS: -STREET PO BOX 80416 <br />CITY SEATTLE STATE WA ZIP 98108-0416 <br />OWNER PHONE:904-226-5081 <br />OWNER EMAIL: toschunk@amazon.com <br />CONTRACTOR COMPANY NAME: <br />WA STATE CONTRACTOR LICENSE #(REQUIREDf4% <br />OF EVERETT BUSINESS LICENSE #(REQUIRED): OOC19 <br />CONTRACTOR ADDRESS: STREET <br />CITY STATE ZIP <br />CONTRACTOR PHONE: <br />CONTRACTOR EMAIL: <br />PRIMARY CONTACT: 0 OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />Todd n k <br />CONTACT PHONE: 904-226-5081 <br />CONTACT EMAIL: toschunk@amazon.com <br />6 U,i Lbi MdA N F6 kMATi d N <br />VALUATION OF WO , • $100,000 <br />ASSOCIATED LAND USE PROJECT # (if applicable): <br />(Valuation shall include the pYevalling fair market vaXe of all labor, materials, and equipment needed to complete the work, whether actually paid or not.) <br />EXISTING USE OF UILDING: So tion Center <br />PROPOSED USE OF BUILDING: Sortation Center <br />HEAT SOURCE: ❑Gas . ❑Electric ❑✓ Other existing - no changes <br />BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family - # Units: ❑✓ 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 El Exterior Alteration ❑Tank (above ground) ❑Accessory Structure <br />❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank (above ground) ❑Other: <br />DESCRIPTION OF WORK: Demolition of an existing breakroom, a revision to the interior fencing and the addition <br />of a secured turnstile and gate. � E � M[ <br />D <br />JAN 21 2024 <br />.4 Opp <br />ACKNOWLEDGEMENT: I have reviewed this application and confirm the information contained herein is true and correct. Work d ,�,t � gust 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 dthb�writing from the <br />Building Official before being authorized under any circumstance. I am the owner, or l 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 />/�1I'Yl P e ltO 2 RReasonsigned <br />I a the Amy <br />� H u is docu Amy Pelton 1 / 15/24 �0/� <br />PERMIT # <br />y Reason: I am the author of this document <br />Date�.!2o23J2.o8 15:23:44-o6'oo' <br />)wner/Authorized Agent Signature Date (Revised 412112022) <br />