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• • <br /> BUILDING 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 2031 RAINIER AVE PARCEL#: 00401 541 701 500 <br /> crTY EVERETT STATE WA zip 98201 <br /> SUITE/UNIT#: FLOOR#: 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:LAUREL&ALI THOMPSON <br /> OWNER MAILING ADDRESS: STREET 2031 RAINIER AVE <br /> crTY EVERETT STATE WA zip 98201 <br /> OWNER PHONE: OWNER EMAIL: Ithompson67@comcast.net <br /> CONTRACTOR COMPANY NAME:ESCAPES FENCE & DECK <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):ESCAPCL901 MB CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): rj 1-E 1 l <br /> CONTRACTOR ADDRESS: STREET `3Cy1 1J (;-ten I'`Z- �nnCv <br /> CITY V+Z'�'^" cf.*. j; STATE N. ZIP el7 f <br /> CONTRACTOR PHONE:360-386-9042 CONTRACTOR EMAIL:escapesfence@comcast.net <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR 0 OTHER(Please Specify) ARCHITECT <br /> CONTACT NAME: CONTACT PHONE:206-412-9296 <br /> N E I L J O RG E N S E N CONTACT EMAIL:neil@j3-Ilc.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK:$80,000 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:SFR <br /> PROPOSED USE OF BUILDING:SFR WITH DETACHED GARAGE <br /> HEAT SOURCE: ❑Gas ❑Electric ❑Other NA <br /> BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex EADU ❑Multi-Family-#Units: ❑Commercial DAccessory Structure <br /> TYPE OF PROJECT(check all that apply): ENew Construction ❑Addition ❑Remodel ERepair ❑T.I. ❑Change of Use <br /> ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) DAccessory Structure <br /> ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: <br /> DESCRIPTION OF WORK: <br /> CONSTRUCT 560 S.F DETACHED GARAGE <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/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 /> City of Everett Official Use Only <br /> PERMIT# <br /> 06/11/2021 1/ �0 0 <br /> Owner/Authorized Agen Signature Date (Revised 2/8/2021) <br />