2707 COLBY AVE BASE FILE 2025-01-09

moi tz B•DING PERMIT APPLICAN CITY OF EVERETT PERMIT SERVICES EVERETT 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 I (E)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 2707 Colby Ave PARCEL#: 00439162500100 CITY STATE ZIP SUITE/UNIT#: 407 FLOOR#: 7 ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME (if non-residential):WFG National Title Company LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Skotdal Mutual LLC OWNER MAILING ADDRESS: STREET P.O. Box 5267 CITY Everett STATE WA zip 98206 OWNER PHONE:425-252-5400 OWNER EMAIL: andrew.skotdal@skotdal.com CONTRACTOR COMPANY NAME:SkOtdal Real Estate WA STATE CONTRACTOR LICENSE#(REQUIRED):n/a CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 91-1 9261 03 CONTRACTOR ADDRESS: STREET1604 Hewitt Ave, Ste 200 CITY Everett STATE WA ZIP 98201 CONTRACTOR PHONE:425-508-0413 CONTRACTOR EMAIL:Craig.sanderson@skotdal.com PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-300-3020 Larry Rouch CONTACT EMAIL:Iarry.rouch@skotdal.com BUILDING INFORMATION VALUATION OF WORK: $90,350.00 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:B Occupancy (Office) PROPOSED USE OF BUILDING:B Occupancy (Office) 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 over 7ft high ❑RackStora e ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: ❑Fence 9 9 DESCRIPTION OF WORK:2,858 s.f. tenant improvement in existing shell. 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 lobal 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. 1 City of Everett Official Use Only 2..... 12/20/2021 PERMI�.#� Lt I^ ., D 493 Owner/Authorized Aent Signature Date (Revised 2/8/2021) i2-