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B•DING PERMIT APPLICA1SN <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)425.257.88101(E)everetteps@everettwa.gov J(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 2904 Riverview Blvd PARCEL#: DOD k D <br /> coy Everett STATE Wa zip 98203 <br /> SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANT/BUSINESS NAME(if non-residential): auc. Dop - 0 -• �'� <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: V At\b1 \16 j Lot No.: ' / (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: <br /> OWNER MAILING ADDRESS: STREET 2904 Riverview Blvd <br /> c„-,r, Everett STATE wa ZIP 98203 <br /> OWNER PHONE:425-353-1498 OWNER EMAIL: c4carroll@hotmail.com <br /> CONTRACTOR COMPANY NAME:BH Contracting services Inc. pp� <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED): BHCONSI972BC ,CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): lQ 31-g <br /> CONTRACTOR ADDRESS: STREET P.O. Box 1712 <br /> cn'' Duvall STATE Wa zip 98019 <br /> CONTRACTOR PHONE:2O6-423-0903 CONTRACTOR EMAIL:brad C! bhCOntraCtingserviCes_COrn <br /> PRIMARY CONTACT: 0 OWNER i1 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-423-0903 <br /> Brad Wilson CONTACT EMAIL:brad@bhcontractingservices.com <br /> BUILDING INFORMATION <br /> !VALUATION OF WORK:$25 000.00 [ASSOCIATED LAND USE PROJECT#(if applicable): <br /> galuation 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: single family residential <br /> PROPOSED USE OF BUILDING: single family residential <br /> HEAT SOURCE: ❑✓Gas ❑Electric ❑Other <br /> BUILDING TYPE: i1SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-if Units: ❑Commercial ❑Accessory Structure <br /> TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition i(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: Master bath remodel with the relocating of the toilet, vanity, sink, shower, enlarge <br /> water closet for code clearance for toilet, removal of the hall closet to create more <br /> space for the bathroom and enlarge doorway into the bathroom. all wall relocates are <br /> non load bearing. <br /> ACKNOWLEDGEMENT:1 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 aoplicatiran is made, <br /> and!comply with e tate Contractors L 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> — � ` Z Pj21D ° <br /> Owner-Aut rized Agent Signature Date (Revised 2/8/2021) / <br /> 1 <br />