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B MIL DING PERMIT APPLICAAN <br /> CITY OF EVERETT PERMIT SERVICES <br /> E V E R E T T 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 1(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET920 wetmore Ave PARCEL#: 00385417602400 <br /> CITY 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: repair work Lot No.:BAILEYS (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:Chester Lloyd Beard III <br /> OWNER MAILING ADDRESS: STREET PO Box 1508 <br /> cry Langley STATE Wa ZIP 98260 <br /> OWNER PHONE:425-218-5567 OWNER EMAIL:chester.beardiii@gmail.com <br /> CONTRACTOR COMPANY NAME:Self <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> CONTRACTOR ADDRESS: STREET <br /> CITY - STATE - ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> PRIMARY CONTACT: ©OWNER 0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425_218-5567 <br /> Chester Beard CONTACT EMAIL:chester.beardiii@gmail.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK:$100,000 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:hOme <br /> PROPOSED USE OF BUILDING:hOme <br /> HEAT SOURCE: ❑Gas ©Electric ❑Other <br /> BUILDING-TYPE: ©SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ©Repair ❑T.I. ❑Change of Use <br /> ❑Modular ❑Portable ORe-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:This will be a remodel/repair work on my home due to fire damage. I will be moving the <br /> bathroom to the back of my house away from the middle and turning the old bathroom <br /> area into a storage/closet area. I will not be moving any walls for this project. Also the <br /> kitchen will be remodeled. I will be removing/closing one window and extending the <br /> man counter to the rear of the kitchen area to give me more counter space. The pantry <br /> area which is now the new bathroom will be further supported by two new posts under <br /> that area to make sure the floor can stand the weight of the toilet and shower <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 w' the State Contractors Law 18.27 RCW and 296.200A WAG. <br /> City of Everett Official Use Only <br /> (�. .._20 Dui, <br /> �PERMIT ,\1" ,O4 `al,J <br /> Own uthorized Agent Signature ll Dilate (Revised 2/8/2021) l <br />