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BOLDING PERMIT APPLICAWN <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT 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 3015 9th Street Building 4(NE) PARCEL#: 29051700102300 <br /> c,Ty Everett STATE WA ZIP 98201 <br /> SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANT/BUSINESS NAME(if non-residential): R%Ytt S La,y'0(,i A-partiAAOM,t5 <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: See attaC ed legal desc. Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:GJJ Williams Investments LLC <br /> OWNER MAILING ADDRESS: STREET 2517 Colby Avenue <br /> CITY Everett STATE WA ZIP 98201 <br /> OWNER PHONE:425-355-0353 OWNER EMAIL: ryan@williamsinvest.com <br /> CONTRACTOR COMPANY NAME: Exteriors Plus Northwest <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):EXTERPN844CH CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 62919 <br /> CONTRACTOR ADDRESS: STREET P 0 Box 40 <br /> CITY Arlington STATE WA ZIP 98223 <br /> CONTRACTOR PHONE: 360 319 6524 CONTRACTOR EMAIL:brenan@plasteringplus.com <br /> PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) Doug Hofius, Dykeman Architects <br /> CONTACT NAME: CONTACT PHONE:206 795 2192 <br /> Doug Hofius CONTACT EMAIL:dough©adykeman.net. <br /> BUILDING INFORMATION <br /> VALUATION OF WORK: $ ` 1 y, 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:Multi-family apartments <br /> PROPOSED USE OF BUILDING:Multi-family apartments <br /> HEAT SOURCE: ❑Gas ❑✓Electric ❑Other <br /> BUILDING TYPE: ❑SFR Townhouse ❑Duplex ❑ADU ❑✓Multi Family-#Units:18 ❑Commercial ❑Accessory Structure <br /> TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑✓Repair ❑T.I. ❑Change of Use <br /> EModular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure <br /> ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑✓Other:Re-cladding. <br /> DESCRIPTION OF WORK:Replace exterior cladding only. <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 with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> P V PERMIT# - 0 5z <br /> ,J��(�� 6/9/2021 I 0 <br /> Owner/Authorized Agent Signature Date (Revised 2/8/2021) ; <br />