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4514 SEAHURST AVE 2023-10-23
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4514 SEAHURST AVE 2023-10-23
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10/23/2023 8:59:22 AM
Creation date
9/11/2023 8:17:07 AM
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Address Document
Street Name
SEAHURST AVE
Street Number
4514
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sim <br /> BIDDING PERMIT APPLICATII <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 1 (E)everetteps@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 4514 Seahurst Ave PARCEL#: 00505700000503 <br /> c,rr Everett STATE WA ZIP 98203 <br /> SUITE/UNIT#: N/A FLOOR#:N/A ADDITIONAL LOCATION INFORMATION (if applicable):N/A <br /> TENANT/BUSINESS NAME (if non-residential):NSA <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: N/A Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Susan Abolafya <br /> OWNER MAILING ADDRESS: STREET 4514 Seahurst Ave <br /> CITY Everett STATE WA ZIP 98203 <br /> OWNER PHONE:425-870-6649 OWNER EMAIL: suzieq466@gmail.com <br /> CONTRACTOR COMPANY NAME: N/A ('ti.m ,(1)--- • <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 ❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-870-6649 <br /> Susan Abolafya CONTACT EMAIL:suzieg466@gmail.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK:$ ASSOCIATED LAND USE PROJECT#(if applicable): <br /> (Valuation shall include the prevailing fair a et va ue of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) <br /> • <br /> EXISTING USE OF BUILDING: Home <br /> PROPOSED USE OF BUILDING: Remodel basement <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 EIRemodel ❑Repair ❑T.I. ❑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: Remodel of existing livable basement space. Framing a closet in each bedroom and <br /> framing in closets at the end of the hallways and under the stairs. Updating existing <br /> bathroom. <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 Offrci 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 com with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PE IT#" rr <br /> wnerl Orized Agent Signaturl‘27/e Date (Revised 2/8/2021) <br /> ;/ <br /> i/ <br />
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