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mil <br /> in BtLDING PERMIT APPLICATI <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 l(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue.or.Black Ink Onl .Please). PROJ CT: ITE.INFORMATION : ::: :`'::': : : ::::::::::': <br /> PROJECT SITE ADDRESS: STREET 10115 Holly Dr. PARCEL.#: 28042400201100 <br /> cm'Everett STATE WA ZIP 98204 <br /> SUITE/UNIT#: Building Q FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANT/BUSINESS NAME(if non-residential):Olin Fields Apartments <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION. : :...:.. .: :::.:..::: .: :. . ....:.....:..:. .... ..:.:::.;:..:: : :::: <br /> OWNER NAME:Olin Fields Owner LLC <br /> OWNER MAILING ADDRESS: STREET 701 5th Ave, Suite 5700 <br /> cirr Seattle STATE WA zip 98104 <br /> OWNER PHONE:509-833-6657 OWNER EMAIL: CodyJ@secprop.com 11 <br /> CONTRACTOR COMPANY NAME:Keck General Construction <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):CCKECKGGC855RW CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 64875 <br /> CONTRACTOR ADDRESS: STREET 17311 135th Ave NE Suite B400 <br /> cm, Woodinville STATE WA zip 98072 <br /> CONTRACTOR PHONE:425-231-7004 CONTRACTOR EMAIL:Shane@keckgC.COm <br /> PRIMARY CONTACT: ❑OWNER ✓D CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-498-2332 <br /> Jason Bean CONTACT EMAIL:jason@keckgc.com <br /> U N6INF. R <br /> VALUATION OF WORK:3$40,000 !ASSOCIATED LAND USE PROJECT#(if applicable): <br /> {Valuation shall include the prevailing fair market value old labor,materials,and equpment needed to complete the work,whether actually paid or not.) <br /> EXISTING USE OF BUILDING:Multi-Family <br /> PROPOSED USE OF BUILDING:Multi-Family <br /> HEAT SOURCE: OGas IIElectric ❑other <br /> BUILDING TYPE: OSFR D7ownhouse ❑Duplex DADU ❑✓Multi-Family-#Units:352 ❑Commercial ❑Accessory Structure <br /> TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition DRemodel ❑✓Repair DT.1. ❑Change of Use <br /> ❑Modular OPortable ORe-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure <br /> ❑Fence over 7ft high DRackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: <br /> DESCRIPTION OF WORK:Exterior deck repair. Demolition of damaged wood and repair of wood.with like and <br /> kind materials according to plans. Application of waterproofing detail according to <br /> plans. <br /> ACKNOWLEDGEMENT:I have reviewed this application and confirm the fnformation contained herein 1s 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.lam the owner,or!am authorized by the owner of this properly to perform the work for which application is made. <br /> and!comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# 1 <br /> lawn,Sean, <br /> 11/18/2022 `3 /-l- t — 0 ct g <br /> Owner/Authorized Agent Signature Date (Revised 4/21/2022) <br />