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lllllllllll. <br />B011 UTLDING PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />EVERETT <br />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 i (E) everetteps@everettwa.gov I (W) everettwa.gov/permits <br />(Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: STREET 2905 Leonard PARCEL #: <br />c,Ty Everett STATE WA ... 98201 <br />SUITE/UNIT #: FLOOR #: 1 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:Amanda Spec <br />OWNER MAILING ADDRESS: STREET 2905 Leonard <br />c,Tr Everett STATE WA ... 98201 <br />OWNER PHONE: 425-923-5498 <br />1OWNER EMAIL: amandamspeck@gmail.com <br />CONTRACTOR COMPANY NAME: Davis Construction Inc <br />WA STATE CONTRACTOR LICENSE #(REQUIRED): DAVISC101 1 DK <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 038192 <br />CONTRACTOR ADDRESS: STREET18 W Marilyn Ave <br />c,TY Everett STATE WA Z,P 98204 <br />CONTRACTOR PHONE: 425-501-9556 <br />1CONTRACTOR EMAIL:davisconstructioninc@hotmai1.com <br />PRIMARY CONTACT: ❑ OWNER ❑✓ CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />Jeff Davis <br />CONTACT PHONE: 425_501-9556 <br />CONTACT EMAIL: davisconstructioninc@hotmail.com <br />BUILDING INFORMATION <br />VALUATION OF WORK: $22� V ASSOCIATED LAND USE PROJECT # (if applicable): <br />(Valuation shall include the prevaifi fair market value of all labor, materials, and equipment needed to complete the work, whether actually paid or not.) <br />EXISTING USE OF BUILDING: Res <br />PROPOSED USE OF BUILDING: ReS <br />HEAT SOURCE: ❑Gas ❑Electric []Other <br />BUILDING TYPE: &FR ❑Townhouse i❑Duplex ❑ADU ❑Multi -Family - # Units: []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) ❑✓ Othef: Rebuild front porch <br />DESCRIPTION OF WORK: Remove existing front porch and rebuild to match existing. Except install hip roof on <br />ends of porch. <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 / comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />ODa W oy <br />jent Signature <br />3-24-21 <br />Date <br />City of Everett Official Use Only <br />PERMIT # <br />132103-b86 <br />(Revised 21812021) <br />%z <br />