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B; "1"_DIN1G PERMIT APPLICAT" 1N <br /> CITY ca EVERETT PERMIT SERVICES <br /> EVERETT CIS <br /> SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirer 1 V <br /> r r review, <br /> WASHINGTON then drop off completed application plus all required submittal documents t 0 Cedar Street 2nd Floor Int jerop Box. <br /> [E <br /> CONTACT INFORMATION: (P)425-257-8810 1 (E)PermitServices@everet v I( ) rett a. a,/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATIONfut <br /> PROJECT SITE ADDRESS: STREET 10101 7th Ave SE PARCEL#: 2315W OF EVERETT <br /> CITY Everett STATE WA Permit Segisa®s <br /> SUITE/UNIT#: Buildingn12 FLOOR#: N/A ADDITIONAL LOCATION INFORMATION (if applicable): N/A <br /> TENANT/BUSINESS NAME (if non-residential):Wildreed Apartments <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: N/A Lot No.: N/A (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:FRG Reed LLC(50%),JSP Reed LLC(25%),&TC Reed LLC(25%), <br /> OWNER MAILING ADDRESS: STREET 44 Montgomery St FL 41 st <br /> CITY San Francisco CA 94104 <br /> STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR COMPANY NAME:Building Resources Inc <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):Buildri949bq CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 52319 <br /> CONTRACTOR ADDRESS: STREET280 Morris Ave S <br /> clTr Renton STATE WA ZIP 98057 <br /> CONTRACTOR PHONE:206-851-2358 CONTRACTOR EMAIL:Jboyd@callbrinc.com <br /> PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) Dibble Engineers Inc. <br /> CONTACT NAME: CONTACT PHONE:425-553-1864 <br /> Michael Miller II CONTACT EMAIL:mmiller@adibbleengineers.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK: $25,000 ASSOCIATED LAND USE PROJECT#(if applicable):N/A <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:Multi-Family <br /> PROPOSED USE OF BUILDING:Unchanged-Multi-Family <br /> HEAT SOURCE: ❑Gas ❑Electric ❑Other NA <br /> BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑✓Multi-Family-#Units:234 ❑Commercial ❑Accessory Structure <br /> TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑✓Repair ❑T.l. ❑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: <br /> DESCRIPTION OF WORK: Remove existing deck box columns and replace with timber columns. Remove and <br /> replace the deck waterproofing membrane and repair damaged deck framing members <br /> as required. <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 /> Vivian Champion 4/26/2023 PERMIT# --),S 0 <br /> j, <br /> Owner/Authorized Agent Signature Date (Revised 412112022) <br />