10006 EVERGREEN WAY 2025-09-26 - Laserfiche WebLink

B LDING PERMIT APPLICAR )N 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 1 (E)PermitServices@everettwa.gov I (W)everettwa.govipermits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 10006 EVERGREEN WAY PARCEL#: 28042400200200 CITY EVERETT STATE WA. zlp 98204 SUITE/UNIT#: 219-220,224-227 FLOOR#: 2 ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):MOTEL 6 LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:MOTEL 6 OPERATING LP #37 OWNER MAILING ADDRESS: STREET PO BOX 117508 clr, CARROLTON STATE TX ZIP 75011 OWNER PHONE: OWNER EMAIL: CONTRACTOR COMPANY NAME: TBD /V1 a r �' � Vv1 GIXI L L PP p WA STATE CONTRACTOR LICENSE#(REQUIRED): A(Z1CL' IZ 1✓B3 1 P 4 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): l0 0 CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR ✓❑OTHER(Please Specify) ARCHITECT CONTACT NAME: CONTACT PHONE:425.317.8017 Sandra Higgins CONTACT EMAIL:sandra@caparchgroup.com --- ---BUILDING INFORMATION VALUATION OF W6P_,K: $ ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall include the prevaitng-fai[market value o all labor,materials',"and equipment needed to complete the work,whether actually paid or not.) EXISTING USE OF BUILDING:MOTEL PROPOSED USE OF BUILDING:SAME 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 ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK: Repair of interior fire damage to non-load-bearing wood framing at motel units; remove damaged framing and replace with new framing and gypsum wall board;Qnstali new plumbing fixtures at toilet rooms �e� 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 local 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 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only S C�n U ra H I g g I n S Digitally signed by Sandra Higgins PE IT# — r Date:2022.06.23 11:37:15-07'00' 22 11 O l 1 Owner/Authorized Agent Signature Date (Revise 4/21/2022)