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3207 COLBY AVE 208 2022-01-27
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3207 COLBY AVE 208 2022-01-27
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Last modified
1/27/2022 10:45:12 AM
Creation date
8/16/2021 11:56:14 AM
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Address Document
Street Name
COLBY AVE
Street Number
3207
Unit
208
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BIOLLDING PERMIT APPLICAI&N <br />CITY OF EVERETT PERMIT SERVICES <br />EVERETTSUBMITTAL 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) everetteps@everettwa.gov I (W) everettwa.gov/permits <br />(Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: STREET 3207 Colby Ave PARCEL #: 00696100120800 <br />clTy Everett STATE WA ZIP 98201 <br />SUITE/UNIT #: 208 FLOOR #: 2 ADDITIONAL LOCATION INFORMATION (if applicable): <br />TENANT/BUSINESS NAME (if non-residential): <br />LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: Robert F. Long <br />OWNER MAILING ADDRESS: STREET 3207 Colby Ave #208 <br />,IT,, Everett STATE WA ZIP 98201 <br />OWNER PHONE:425-754-7065 <br />1OWNER EMAIL: blong@juddblack.com <br />CONTRACTOR COMPANY NAME:Judd & Black <br />WA STATE CONTRACTOR LICENSE #(REQUIRED):JUDDB**033JW <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 7566 <br />CONTRACTOR ADDRESS: sTREET2808 Maple St. <br />c,Ty Everett STATE WA Z,p 98201 <br />CONTRACTOR PHONE:425-754-7065 <br />1CONTRACTOR EMAIL:blong@juddblack.com <br />PRIMARY CONTACT: 0 OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />Robert Long <br />CONTACT PHONE:425-754-7065 <br />CONTACT EMAIL:blong@juddblack.com <br />BUILDING INFORMATION <br />VALUATION OF WORK: $750.00; ASSOCIATED LAND USE PROJECT # (if applicable): <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:; residential living <br />PROPOSED USE OF BUILDING: <br />HEAT SOURCE: ❑Gas ❑✓ Electric ❑Other <br />BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ✓❑Multi -Family - # Units: 20 ❑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 ❑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 upper section of wall between living room and kitchen. Increase the width of <br />the entry way into the kitchen and open space to create a peninsula with eating bar. <br />Remove 5 - 2x4's from a non -bearing wall. <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 />Owner/Authorized <br />l City of Everett Official Use Only <br />'yG'1J P T \0� O�S <br />Date (Revised 21812021) <br />i <br />
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