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E • <br /> az BUILDING PERMIT APPLICATIO <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 706-32nd Street PARCEL#: 0056190100100 <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: Rucker Park Add Lot No.: 1-2 (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:David &Cassandra Franklin <br /> OWNER MAILING ADDRESS: STREET 706-32nd Street <br /> CITY Everett STATE WA ZIP 98201 <br /> OWNER PHONE:(206) 790-5721 OWNER EMAIL: david.franklin@gmail.com <br /> CONTRACTOR COMPANY NAME:Christopher Construction SIAL Q UA y h .z f 2oto-- set, 11G 6 l hfv-� � q�/ i <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):CHRISC*190C7 / CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): Co 2 3(p <br /> CONTRACTOR ADDRESS: STREET 8816 Cascadia Ave <br /> CITY Everett STATE WA ZIP 98201 <br /> CONTRACTOR PHONE:(425)239-8837 CONTRACTOR EMAIL:Christopher.construction@hotmail.com <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) Project Designer/Agent <br /> CONTACT NAME: CONTACT PHONE:(206)225-0068 <br /> Douglas Almond,NuttyCAD Drafting&Design,LLC CONTACT EMAIL:doug.almond@nuttycad.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK:$95,000.00 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:N/A <br /> PROPOSED USE OF BUILDING:DADU <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 DTI. ❑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: <br /> Construct new 616 sqft. DADU W &atris-IDply' 6110 Inc'• <br /> WlitGe 01k-0PP/iv(' <br /> €SI t • <br /> Ittref - W . 1$2°8 <br /> t :B k�,t,c 00& 6:)N e o'6 Li I z1 t tOL2_ <br /> tA,91. UN 6310 1 gs <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 fed ral,state, d 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 cial befor being thorized 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 c ly with the State o tractors/aw 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> j PERMIT �� <br /> 11/04/2021 I I <br /> ne A h rize Agent Signature Date (Revised 2/8/2021) <br /> / <br />