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9114 <br /> ` • • <br /> 4 <br /> RIM BUILDING PERMIT APPLICATION <br /> CRY OF EVERETT PERIM SERVICES and InFralw oe kw to a+*: <br /> t1 7 Ca lilt Street 2TMd Flom Imo**Mop t <br /> eraawwaraw eNsn deep offll 1 OM ovenware* 7rvPpe,.T+r.1 <br /> CONTACT T7ON:MI US4S7408101 tE) `en'"e"M' <br /> or 'NM O.wj' PROJECT RITE III MAT$Otw/ -. -- - -- <br /> SITE ADOR[ESSr s*+�TT <br /> !i VIM, Kar FARCEL>T: r> ar aaauo me <br /> ar, Evert* 1fATF'. WA Sir" <br /> �ATFAJNrr FLOOR AOOfl1ONA110CAT1OP4 INFORMATION(if aeppltcable)' <br /> !BUSINESS NAME��: <br /> DESCRIPTION tot net a din Short ' 1°^ La NO WW1,COPY at kr g*PM o °"'y <br /> CONTACT INFORMATION <br /> ER NAME:Jarman Herrera Rodriguez <br /> MAILING ADDREss, s, r-r 2414 204TH ST SW APT 9 <br /> „,„ Lytwwrood <br /> STATE WA re, I <br /> Ex PHONE:425-244-1027 JOINER EMAIL: jaseluis8171@hotmaii.corn <br /> CONTRACTOR COMPANY NAME:°wrier Spouse-Jose Luis Vicente <br /> A STATE CONTRACTOR LICENSE*REQUIRED); 'CITY OF EVERETT BUSINESS LICENSE/(REQUIRED); ' <br /> CONTRACTOR ADDRESS: STET <br /> ary SLATE YIP <br /> PHONE: CONTRACTOR EMAIL: <br /> PRIMARY CONTACT: O OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-346-3298 <br /> Jose Luis Vicente CONTACT EMAIL::joseluis8171Qahotmail.com <br /> - ILDINOINFORMATION <br /> ALUAT1ON OF WORK: (ASSOCIATED LAND USE PROJECT!(if applicable): <br /> akeeeom sere made as• -- --,end equipment needed b complete 9e work,ve.samar y pad or not) <br /> EXISTING USE OF BUILDING:single family <br /> PROPOSED USE OF BUILDING:same <br /> HEAT SOURCE: OOas BElectric OOther <br /> BUILDING TYPE i1sFR OTownhouse Oouplex OADU OMUIG-Family-#Units: DCommercial OAccessory Structure <br /> • OF PROJECT(check all that apply): ONew Construction DAddition O✓Remodel ORepair OT.I. OChange of Use <br /> OModular OPortabie ORe-roof OExterior Alteration OTank(above ground) OAccessory Structure <br /> OFence over 7ft high ORacksto►age OPooiMot Tub OTank(above ground) OOther: <br /> DESCRIPTION OF WORK: <br /> 1)replace Sheetrock walls in kitchen and bathroom <br /> ,20lew Counter tops&flooring in kitchen and bathroom <br /> 3)new full size front door and backdoor <br /> wer update-valves and lines <br /> reinforce studs in flooring �ck <br /> 6 • <br /> —LP 6e_ c).eva.etti) <br /> ICKNOWLEDGEAfENT: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 /> +wmnt federal.state,and local dew.The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized A writing from the <br /> sae®rg Official before being authorized under any taanstance.I en the owner,or I am authorized by the carnet of this property to peAonn the nor*for which application is made, <br /> re I comply etch the Sbeta Contractors Caw 1827 RCW and 296200A WAC. <br /> City of Everett Official Use Only <br /> III o31 <br /> � 2.022... PERM 2.2 2._ „co 3 <br /> Sienetwa Date (Revised 4/21/2022) <br /> W 2253% -O)Lk <br /> 1 <br />